MR. Charles S. Roll, NCTMB, LMT

NPI #1689712291 in Fanwood, New Jersey

Provider Information

NPI Number: 1689712291
Entity Type: Individual
Name: MR. Charles S. Roll, NCTMB, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: NCTMB, LMT
Enumeration Date: Feb 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 141 SOUTH AVE
Address 2: SUITE 5
City: Fanwood
State: New Jersey
ZIP Code: 07023-1224
Phone: (908) 322-0214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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