Individual
DR. NEIL A ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 WHITE HORSE PIKE, STE 9, HADDON HEIGHTS, NJ 08035-1299
(856) 546-1177
(856) 546-0666
Mailing address
17 WHITE HORSE PIKE, SUITE 9, HEIGHTS IMAGING CENTER, HADDON HEIGHTS, NJ 08035-1299
(856) 546-1177
(856) 546-0666
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05227300
NJ
2085R0202X
Diagnostic Radiology Physician
MD052730L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001466608
AMERICHOICE OF PA
PA
05
—
001466608
—
PA
05
—
0014666080020
—
PA
01
—
034628
HIGHMARK BLUE SHIELD
PA
01
—
0716985000
IBC KHPE
PA
01
—
231955165
AETNA USHC
PA
01
—
30035147
KEYSTONE MERCY
PA
01
—
367605
PHCS
PA
05
—
6185703
—
NJ
01
—
MD052730L
HEALTH PARTNERS
PA
01
—
P00390756
RRMC
NJ
01
—
P00403104
RRMC
PA
01
—
PA7584
HEALTHNET
PA
Enumeration date
06/29/2006
Last updated
02/25/2015
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