EDWIN ROQUE

POMONA, NJ
NPI1487312898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NJ01169900)
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
Mr. EDWIN ROQUE APN
65 W JIMMIE LEEDS RD
POMONA, NJ 08240-9102
Phone number: 609-652-1000
Mailing Address
Mr. EDWIN ROQUE APN
27 ABINGTON CT
MAYS LANDING, NJ 08330-1939
Phone number: 609-553-6692