Organization
ROSEVILLE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAOUF KAMEL ELIAS (MD)
(973) 482-7245
Entity
Organization
Contact information
Practice address
346 ROSEVILLE AVE, NEWARK, NJ 07107-1722
(973) 482-7245
(973) 482-0274
Mailing address
18 ALICIA CT, CEDAR GROVE, NJ 07009-1901
(973) 857-1560
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA30602
NJ
Other
Enumeration date
10/20/2010
Last updated
04/11/2011
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