Individual
EDGAR ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 BELL ST, BELLEVILLE, NJ 07109-2730
(862) 201-6252
Mailing address
13 BELL ST, BELLEVILLE, NJ 07109-2730
(862) 201-6252
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR15706700
NJ
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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