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Individual

DR. JULIUS PETER ROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1645 LINCOLN WAY, MCKEESPORT, PA 15131-1719
(412) 672-3383
(724) 935-7156
Mailing address
2602 DOGWOOD CT, WEXFORD, PA 15090-7700

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD040171E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011205780003
PA
Enumeration date
01/04/2007
Last updated
07/08/2007
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