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Individual

WILLIAM ROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
668 MAIN ST, STE 4, LUMBERTON, NJ 08048-5016
(609) 267-7050
(609) 267-7065
Mailing address
2 EVES DR, SUITE 109, MARLTON, NJ 08053-3193
(856) 669-6061
(856) 651-0853

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03040400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1820907
NJ
Enumeration date
08/09/2005
Last updated
03/24/2011
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