Individual
DR. CESAR RUBEN ROQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
714 BERGEN AVE, JERSEY CITY, NJ 07306-4802
(201) 451-6300
Mailing address
714 BERGEN AVE, JERSEY CITY, NJ 07306-4802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA09354300
NJ
207Q00000X
Family Medicine Physician
275943
NY
207Q00000X
Family Medicine Physician
Primary
307615
LA
Other
Enumeration date
08/04/2011
Last updated
01/24/2018
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