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1003881277
THOMAS ROSSER LAKE
OAKHURST, NJ
NPI
1003881277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: NJ 25MA07084700)
Enumeration Date
2006-02-21
Last Update Date
2013-02-04
Business Address
THOMAS ROSSER LAKE MD
255 MONMOUTH RD
OAKHURST, NJ 07755-1515
Phone number: 732-531-5445
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Mailing Address
THOMAS ROSSER LAKE MD
255 MONMOUTH RD
OAKHURST, NJ 07755-1515
Phone number: 732-531-5445
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