Dr. Marc T Rousseau

 

NPI Number Detailed Information

Provider Information:

Name:	Dr. Marc T Rousseau
Gender:	M
Provider License Number If Given:

NPI Information:

NPI:	1326033838
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/12/2005
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	509 N BROAD ST Woodbury, NJ 08096
Phone Number:	8568450100
Fax Number:	8568487023

Provider Business Practice Location Address:

Address:	509 N BROAD ST Woodbury, NJ 08096
Phone Number:	8568450100
Fax Number:	8568487023

Provider Taxonomy:

Primary:	174400000X
Secondary (if any):
State:	NJ