Rogers, Philip S

Rogers, Philip S is an individual health care provider with primary practice located at 415 Boulevard , Mountain Lakes NJ 07046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rogers, Philip S can be contacted via phone (973) 334-7700.

Contact Information

Primary practice address
415 Boulevard Mountain Lakes NJ 07046
Fax: (973) 402-5847
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA067267 New Jersey

Profile Details

NPI number 1174512776
LBN Legal business name Rogers, Philip S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 22nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174512776 NPPES
New Jersey MEDICAID 7755007

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