Roche, Kevin Joseph
Roche, Kevin Joseph is an individual health care provider with primary practice located at 1 Dogwood Dr , Annandale NJ 08801-3101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Roche, Kevin Joseph can be contacted via phone (908) 735-4477.Contact Information
Primary practice address
1 Dogwood Dr
Annandale NJ 08801-3101
Phone: (908) 735-4477
Fax: (908) 735-6532
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 25MA07495400 | New Jersey |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA07495400 | New Jersey |
Profile Details
NPI number | 1760457436 |
---|---|
LBN Legal business name | Roche, Kevin Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Sep 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760457436 | NPPES |
New Jersey | MEDICAID | 9019600 |
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