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Dr. Tracey Roesing

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NPI Number Detailed Information

Provider Information:

Name: Dr. Tracey Roesing
Gender: F
Provider License Number If Given: MD420073

NPI Information:

NPI: 1134122286
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/11/2014

Provider Business Mailing Address:

Address: 500 OLD YORK ROAD SUITE #108
Jenkintown, PA 19046
Phone Number: 2154812725
Fax Number: 2154813013

Provider Business Practice Location Address:

Address: 500 OLD YORK RD SUITE #108
Jenkintown, PA 19046
Phone Number: 2154812725
Fax Number: 2154813013

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: PA

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