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Dr. Marc T Rousseau

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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