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Organization
MICHAEL S ROGERS MD PA
Active
Organization
MICHAEL S ROGERS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE LARTHEY (OM)
(856) 853-8730
Entity
Organization
Contact information
Practice address
831 KINGS HWY, SUITE 100, WEST DEPTFORD, NJ 08096-3162
(856) 853-8730
(856) 853-8870
Mailing address
831 KINGS HWY, SUITE 100, WEST DEPTFORD, NJ 08096-3162
(856) 853-8730
(856) 853-8870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000614452
IBC
NJ
01
—
000786022001
UNITED HEALTHCARE
NJ
01
—
0762906002
AMERIHEALTH
NJ
01
—
10872
AETNA
NJ
05
—
6444407
—
NJ
Enumeration date
03/21/2006
Last updated
02/01/2013
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