Provider Demographics
NPI:1477680304
Name:ROCHE, CHARLES VINCENT III (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:VINCENT
Last Name:ROCHE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 593
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-0593
Mailing Address - Country:US
Mailing Address - Phone:609-463-2755
Mailing Address - Fax:609-463-2757
Practice Address - Street 1:336 96TH ST STE 1
Practice Address - Street 2:
Practice Address - City:STONE HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08247-1439
Practice Address - Country:US
Practice Address - Phone:099-670-0706
Practice Address - Fax:609-967-0077
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2023-11-17
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Provider Licenses
StateLicense IDTaxonomies
DEC70002944207R00000X
NJ25MA08665700207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine