Individual
DR. EDWARD ROBERT ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-2253
Mailing address
700 AIRPORT RD, P.O. BOX 2036, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-2253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05493200
NJ
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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