Individual
JEFFERY DAVID ROESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
77 ROUTE 37 WEST, TOMS RIVER, NJ 08755
(732) 505-9113
(732) 505-5448
Mailing address
77 ROUTE 37 WEST, TOMS RIVER, NJ 08755
(732) 505-9113
(732) 505-5448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04585
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7058501
—
NJ
01
—
729573
AETNA
NJ
Enumeration date
07/26/2006
Last updated
07/08/2007
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