Organization
EAR NOSE & THROAT OF FREEHOLD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LEONARD ROESSLER D.O. (MANAGING MEMBER)
(732) 677-3780
Entity
Organization
Contact information
Practice address
55-77 SCHANCK RD, FREEHOLD, NJ 07728-2964
(732) 677-3780
(732) 677-3782
Mailing address
55-77 SCHANCK RD, FREEHOLD, NJ 07728-2964
(732) 677-3780
(732) 677-3782
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MB07718700
NJ
Other
Enumeration date
04/26/2007
Last updated
01/05/2011
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