Rousseau, Marc T
Rousseau, Marc T is an individual health care provider with primary practice located at 509 N Broad St , Woodbury NJ 08096-1617. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rousseau, Marc T can be contacted via phone (856) 845-0100.Contact Information
Primary practice address
509 N Broad St
Woodbury NJ 08096-1617
Phone: (856) 845-0100
Fax: (856) 848-7023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1326033838 |
|---|---|
| LBN Legal business name | Rousseau, Marc T |
| Credentials | MD ANESTHESIOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326033838 | NPPES |
| New Jersey | Other | 25MA07616000 | MEDICAL LICENSE |
| New Jersey | Other | D08410700 | MEDICAL LICENSE |
| New Jersey | MEDICAID | 0026662 | MEDICAL LICENSE |
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