| Edmund Joseph Roache, M.d. | |
|
200 Mullin St Watertown NY 13601-3619 | |
| (315) 785-8591 | |
| (315) 782-4475 |
| Full Name | Edmund Joseph Roache, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Mullin St, Watertown, New York |
| Authorized Official Name and Position | Edmund J Roache (OWNER) |
| Authorized Official Contact | 3157858591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund Joseph Roache, M.d. Po Box 91 Watertown NY 13601-0091 Ph: (315) 782-4207 | Edmund Joseph Roache, M.d. 200 Mullin St Watertown NY 13601-3619 Ph: (315) 785-8591 |
| NPI Number | 1669424602 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669424602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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