Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS036952 | PA |
NPI | 1164736260 |
---|---|
Provider Name | Dr. Ruth Stella Rojas |
First Address | Trenton, NJ 08641-5116 |
Second Address | Trenton, NJ 08641-5116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2010 |
Last Update Date | 30/07/2010 |