Individual
THOMAS T ROESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
830 OLD LANCASTER RD STE 210, BRYN MAWR, PA 19010
(610) 527-1600
(610) 527-0824
Mailing address
830 OLD LANCASTER RD STE 210, BRYN MAWR, PA 19010-3118
(610) 527-1600
(610) 527-0824
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002926L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
02/23/2006
Last updated
06/15/2018
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