Individual
MRS. OMARA JUDITH ROGALSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2440 HAMBURG TPKE, WAYNE, NJ 07470-6226
(973) 839-3400
Mailing address
2440 HAMBURG TPKE, WAYNE, NJ 07470-6226
(973) 886-7685
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR13882700
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01019200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LF0000X
NURSE PRACTITIONER -FAMILY
NJ
Enumeration date
08/05/2019
Last updated
05/31/2022
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