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Individual

DR. ROGER PATRICK KIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
57 WILLOWBROOK BLVD, WAYNE, NJ 07470-7045
(973) 754-4075
(973) 256-6523
Mailing address
57 WILLOWBROOK BLVD, WAYNE, NJ 07470-7045
(973) 754-4075
(973) 256-6523

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA50014
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5231507
NJ
Enumeration date
06/23/2006
Last updated
07/08/2007
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