Individual
LAURENCE R DESROCHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 HOOPER AVE # 2, TOMS RIVER, NJ 08753-8319
(732) 228-4146
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06376300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6905609
—
NJ
Enumeration date
06/19/2006
Last updated
08/19/2020
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