Individual
ALICJA ROGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 672-8400
Mailing address
1-19 CYRIL AVE, FAIR LAWN, NJ 07410-2053
(551) 206-7175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00295200
NJ
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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