Individual
MARCELA KIM ROGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 218-5634
Mailing address
205 E LAUREL RD, STRATFORD, NJ 08084-1301
(856) 344-7360
(856) 344-2315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09086100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
MT194274
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351237
—
NJ
Enumeration date
06/20/2009
Last updated
12/29/2016
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