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Individual

JENNIFER ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3906 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
(856) 596-1600
Mailing address
132 LAUREL LN, WILLIAMSTOWN, NJ 08094-2015

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15193500
NJ

Other

Enumeration date
03/24/2025
Last updated
04/11/2025
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