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1780636704
EDMUND J ROACHE
WATERTOWN, NY
NPI
1780636704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 153941)
Enumeration Date
2006-05-17
Last Update Date
2015-08-03
Business Address
-- EDMUND J ROACHE M.D.
200 MULLIN ST
WATERTOWN, NY 13601-3619
Phone number: 315-785-8591
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Mailing Address
-- EDMUND J ROACHE M.D.
200 MULLIN ST #102
WATERTOWN, NY 13601-3619
Phone number: 315-782-4475
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