Individual provider · Type 1 NPI

Charles S. Roll, NCTMB, LMT

Specialist · Fanwood, NJ

NPI number 1689712291 Active

Practice location

141 South Ave, Suite 5
Fanwood, NJ 07023-1224

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 16610 (FL)

Specialist: 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.

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About NPI 1689712291

Charles S. Roll, NCTMB, LMT's National Provider Identifier is 1689712291, issued on Feb 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fanwood, NJ. The record was last updated on Jul 8, 2007.