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NPI Code Detail

MEDICARE: TARA ROGGENSINGER

MEDICARE:   TARA  ROGGENSINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1427646850
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA ROGGENSINGER
Provider Business Mailing Address
First Line : PO BOX 3016
Second Line :
City : SOUTH HACKENSACK
State : NJ
Zip : 07606-1016
Country : US
Telephone Number : 201-488-6678
Fax Number : 201-342-4346
Provider Business Practice Location Address
First Line : 70 HILLTOP RD STE 3025
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1155
Country : US
Telephone Number : 201-818-8838
Fax Number : 201-342-4346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2020
Last Update Date : 04/01/2025

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Directions to “ TARA ROGGENSINGER ” Practice Location

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