Individual
LAURA ROETTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2100 KEYSTONE AVE, SUITE 404, DREXEL HILL, PA 19026-1129
(610) 284-0200
Mailing address
104 PINE VALLEY DR, MEDFORD, NJ 08055-9214
(609) 346-3367
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP010065
PA
Other
Enumeration date
11/24/2008
Last updated
08/23/2020
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