Individual
DR. KEVIN JOSEPH ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DOGWOOD DR, ANNANDALE, NJ 08801-3101
(908) 735-4477
(908) 735-6532
Mailing address
PO BOX 5388, CLINTON, NJ 08809-0388
(908) 735-4477
(908) 735-6532
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
25MA07495400
NJ
2085R0202X
Diagnostic Radiology Physician
25MA07495400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9019600
—
NJ
Enumeration date
02/17/2006
Last updated
09/19/2008
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