Individual
DR. BETHANY DESROCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
360 ESSEX ST STE 403, HACKENSACK, NJ 07601-8566
(551) 996-2667
Mailing address
360 ESSEX ST STE 403, HACKENSACK, NJ 07601-8566
(551) 996-2667
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10050157
TX
208800000X
Urology Physician
Primary
25MA10578000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10578000
NJ MEDICAL LICENSE
NJ
01
—
BP10050157
TEXAS MEDICAL BOARD
TX
Enumeration date
05/12/2014
Last updated
07/02/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us