Individual
MRS. MARIA ROCKTASHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
425 JACK MARTIN BLVD, WOMEN'S IMAGING PAVILION, BRICK, NJ 08724
(732) 836-4672
Mailing address
1715 MAIN ST, UNIT 5, LAKE COMO, NJ 07719
(484) 802-6310
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00318900
NJ
Other
Enumeration date
01/24/2007
Last updated
02/09/2012
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