Mr. Charles S Roll, NCTMB, LMT
Specialist in Fanwood, New Jersey
1689712291- Practice location
- 141 South Ave, Suite 5, Fanwood, NJ 07023-1224
- Phone
- 908-322-0214
- 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 - City
- Fanwood
- State
- New Jersey
- Zip
- 07023-1224
- Phone Number
- 908-322-0214
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Fanwood, NJ
View all Specialists in Fanwood →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.