Active NPIIndividual provider

Melissa M Roesly, MD

Family Medicine in Medford, New Jersey

NPI Number1649250846
Practice location
103 Old Marlton Pike, Suite 111, Medford, NJ 08055-8772
Fax
609-953-1544
Last updated
October 18, 2020

Melissa M Roesly is a Family Medicine based in Medford, NJ. Melissa M Roesly practices in Medford, NJ and has the professional credentials of MD. The NPI Number for Melissa M Roesly is 1649250846 and holds a License No. 25MA06357100 (NJ). The current practice location address for Melissa M Roesly is 103 Old Marlton Pike, Suite 111, Medford, NJ 08055-8772 and can be reached out via phone at 609-953-7111 and via fax at 609-953-1544.

Provider Profile Details

NPI Number
1649250846
Provider Name
Melissa M Roesly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
103 Old Marlton Pike, Suite 111, Medford, NJ 08055-8772
Phone Number
609-953-7111
Fax Number
609-953-1544
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2006
Last Update Date
October 18, 2020
Certification Date
October 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Old Marlton Pike
Suite 111
Medford, NJ 08055-8772
Zip
08055-8772
Phone Number
609-953-7111
Fax Number
609-953-1544
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
401 Route 73 N
40 Lake Center Drive Suite 201A
Marlton, NJ 08053-3425
City
Marlton
State
NJ
Zip
08053-3425
Phone Number
856-355-0340
Fax Number
856-355-0346

License Information

License Number
25MA06357100
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melissa M Roesly, MD?

The NPI number of Melissa M Roesly, MD is 1649250846. It was assigned on January 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Melissa M Roesly, MD?

Melissa M Roesly, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA06357100.

Where does Melissa M Roesly, MD practice?

The practice location is 103 Old Marlton Pike, Suite 111, Medford, NJ 08055-8772. The office can be reached at 609-953-7111 (phone) or 609-953-1544 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649250846 directly on the NPPES registry website.

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