Individual
MR. CHARLES S. ROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB, LMT
Contact information
Practice address
141 SOUTH AVE, SUITE 5, FANWOOD, NJ 07023-1224
(908) 322-0214
Mailing address
141 SOUTH AVE, SUITE 5, FANWOOD, NJ 07023-1224
(908) 322-0214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 16610
FL
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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