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Individual

KENNETH A ROFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
225 ROUTE 23 NORTH, HAMBURG, NJ 07419
(973) 209-1550
(973) 209-4832
Mailing address
532 LAFAYETTE RD, STE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06073300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6177808
NJ
Enumeration date
10/03/2005
Last updated
10/20/2011
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