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NPI Code Detail

MEDICARE: MR. RAYMOND ROZANSKI P.A

MEDICARE:  MR. RAYMOND  ROZANSKI  P.A
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
1363AS0400XSurgical Physician Assistant25MP00035300NJ

General Provider Information

NPI Number : 1669460705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND ROZANSKI P.A
Provider Business Mailing Address
First Line : 110 MARTER AVE
Second Line : SUITE 309
City : MOORESTOWN
State : NJ
Zip : 08057-3124
Country : US
Telephone Number : 856-727-1000
Fax Number : 856-727-1000
Provider Business Practice Location Address
First Line : 110 MARTER AVE
Second Line : SUITE 202
City : MOORESTOWN
State : NJ
Zip : 08057-3124
Country : US
Telephone Number : 856-727-1000
Fax Number : 856-727-1000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 09/20/2007

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Directions to “ MR. RAYMOND ROZANSKI P.A” Practice Location

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