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Individual
DR. CHAD J ROACH
Active
Individual
DR. CHAD J ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D74371
MD
207P00000X
Emergency Medicine Physician
Primary
MD440122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102515862
—
PA
Enumeration date
05/23/2008
Last updated
01/30/2021
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