NPI 1770893091
Roseville Medical Group PA
Practice location
- Address
- 346 Roseville Ave, Newark, NJ 07107-1722
- Phone
- (973) 482-7245
- Fax
- (973) 482-0274
- Mailing address
- 18 Alicia CT, Cedar Grove, NJ 07009-1901
Authorised official
- Name
- Raouf Kamel Elias
- Title
- MD
- Phone
- (973) 482-7245
Registered specialties
Legal Medicine
Primary
Registry record
- NPI
- 1770893091
- Entity type
- Organization
- NPI issued
- 20 Oct 2010
- Record last updated
- 11 Apr 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.