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Individual

DR. SCOTT KENNETH ROGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1925 PACIFIC AVE, ATLANTIC EMERGENCY ASSOCIATES, ATLANTIC CITY, NJ 08401-6713
(609) 441-8127
Mailing address
1925 PACIFIC AVE, ATLANTIC EMERGENCY ASSOCIATES, ATLANTIC CITY, NJ 08401-6713
(609) 441-8127

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB09255900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
OT012867
PA

Other

Enumeration date
06/17/2009
Last updated
06/27/2013
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