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Individual

BRAD S ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 CAPITAL WAY, SUITE 407, PENNINGTON, NJ 08534-2521
(609) 303-4460
(609) 303-4461
Mailing address
2 CAPITAL WAY, SUITE 407, PENNINGTON, NJ 08534-2521
(609) 303-4460
(609) 303-4461

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD032465E
PA
208800000X
Urology Physician
Primary
NJ25MA04055000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0505307
NJ
Enumeration date
08/23/2006
Last updated
04/26/2021
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