Individual
NICOLE ROGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
22 CEDAR AVENUE, SUITE B-2, FAIR HAVEN, NJ 07704
(207) 450-3117
Mailing address
33 CHURCH ST, FAIR HAVEN, NJ 07704-3320
(207) 450-3117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15316600
NJ
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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