Active NPIIndividual providerSole proprietor

Mr. Charles S Roll, NCTMB, LMT

Specialist in Fanwood, New Jersey

NPI Number1689712291
Practice location
141 South Ave, Suite 5, Fanwood, NJ 07023-1224
Fax
—
Last updated
July 8, 2007

Charles S. Roll is a Specialist based in Fanwood, NJ. Charles S. Roll practices in Fanwood, NJ and has the professional credentials of NCTMB, LMT. The NPI Number for Charles S. Roll is 1689712291 and holds a License No. MA 16610 (FL). The current practice location address for Charles S. Roll is 141 South Ave, Suite 5, Fanwood, NJ 07023-1224 and can be reached out via phone at 908-322-0214.

Provider Profile Details

NPI Number
1689712291
Provider Name
Charles S. Roll
Credential
NCTMB, LMT
Provider Entity Type
Individual
Gender
Male
Address
141 South Ave, Suite 5, Fanwood, NJ 07023-1224
Phone Number
908-322-0214
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
February 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 South Ave
Suite 5
Fanwood, NJ 07023-1224
Zip
07023-1224
Phone Number
908-322-0214
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
141 South Ave
Suite 5
Fanwood, NJ 07023-1224
City
Fanwood
State
NJ
Zip
07023-1224
Phone Number
908-322-0214

License Information

License Number
MA 16610
License State
FL
Taxonomy
Specialist · 174400000X · 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 Mr. Charles S Roll, NCTMB, LMT?

The NPI number of Mr. Charles S Roll, NCTMB, LMT is 1689712291. It was assigned on February 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Charles S Roll, NCTMB, LMT?

Mr. Charles S Roll, NCTMB, LMT is registered under the primary taxonomy Specialist (code 174400000X), licensed in FL under license number MA 16610.

Where does Mr. Charles S Roll, NCTMB, LMT practice?

The practice location is 141 South Ave, Suite 5, Fanwood, NJ 07023-1224. The office can be reached at 908-322-0214 (phone).

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 1689712291 directly on the NPPES registry website.

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