Organization
EDMUND JOSEPH ROACHE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND J ROACHE M.D. (OWNER)
(315) 785-8591
Entity
Organization
Contact information
Practice address
200 MULLIN ST, WATERTOWN, NY 13601-3619
(315) 785-8591
(315) 782-4475
Mailing address
PO BOX 91, WATERTOWN, NY 13601-0091
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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