Roesly, Melissa M

Roesly, Melissa M is an individual health care provider with primary practice located at 103 Old Marlton Pike Suite 111, Medford NJ 08055-8772. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roesly, Melissa M can be contacted via phone (609) 953-7111.

Contact Information

Primary practice address
103 Old Marlton Pike Suite 111 Medford NJ 08055-8772
Fax: (609) 953-1544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06357100 New Jersey

Profile Details

NPI number 1649250846
LBN Legal business name Roesly, Melissa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 18th, 2020 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649250846 NPPES
New Jersey MEDICAID 7468806

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