Individual
DR. BENNO GEORGE ROESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 MAIN ST, HACKENSACK, NJ 07601-5715
(201) 678-0288
Mailing address
581 FLETCHER AVE, ORADELL, NJ 07649-2501
(201) 265-1842
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA07669900
NJ
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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