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NPI Code Detail

MEDICARE: ELIZABETH ROESLE

MEDICARE: ELIZABETH ROESLE
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
1104100000XSocial Worker44SL06554700NJ

General Provider Information

NPI Number : 1447960083
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ROESLE
Provider Business Mailing Address
First Line : 27 S 5TH AVE
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-2604
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 59 FRANKLIN ST
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-8635
Country : US
Telephone Number : 732-825-7729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 12/05/2022

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Directions to “ ELIZABETH ROESLE ” Practice Location

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