Individual
MELISSA M ROESLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 OLD MARLTON PIKE, SUITE 111, MEDFORD, NJ 08055-8772
(609) 953-7111
(609) 953-1544
Mailing address
401 ROUTE 73 N, 40 LAKE CENTER DRIVE SUITE 201A, MARLTON, NJ 08053-3425
(856) 355-0340
(856) 355-0346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06357100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7468806
—
NJ
Enumeration date
01/23/2006
Last updated
10/18/2020
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