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Individual

BEVERLY ROECKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-6611
(609) 735-0415
Mailing address
DEBORAH HEART AND LUNG CENTER 200 TRENTON ROAD, BROWNS MILLS, NJ 08015
(609) 893-6611
(609) 735-0415

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00648300
NJ

Other

Enumeration date
08/29/2016
Last updated
08/29/2016
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