Doctor Name: | ROBERT J ROLAND |
NPI Number: | 1588680458 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 25MB4831600 |
Business Practice Address: | 11 Overlook Rd Mac Ii Building Suite Ll101 Summit, NJ - 079013577 |
Business Phone Number: | 9085225900 |
Business Fax Number: | 9085225544 |
Mailing Address: | Po Box 416457, BOSTON |
State: | MA |
Postal Code: | 022416457 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MB4831600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |