Most Relevant Information
Provider Data
NPI Number: | 1003026386 |
Provider Name: | ROCCO BRISCESE MALPC |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 37LC00011000 |
Most Important Dates
Enumeration Date: | 05/23/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
654 E JERSEY ST
ELIZABETH
NJ
072061261
Practice Location Phone/Fax
Phone: | 9089947233 |
Fax: |
Provider Mailing Location
19 LONDON DR
EAST BRUNSWICK
NJ
088163938
Provider Mailing Phone/Fax
Phone: | |
Fax: |