Individual
BERTRAND P ROCHE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 MAPLE RD, WILLIAMSVILLE, NY 14221-2918
(716) 565-1234
(716) 565-1246
Mailing address
61 MAPLE RD, WILLIAMSVILLE, NY 14221-2918
(716) 565-1234
(716) 565-1246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010149101
UNIVERA
NY
01
—
0108357
INDEPEDENT HEALTH
NY
Enumeration date
04/18/2006
Last updated
07/08/2007
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