Provider Demographics
NPI:1679654008
Name:ROCERETO, THOMAS F (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:ROCERETO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:900 CENTENNIAL BLVD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4689
Practice Address - Country:US
Practice Address - Phone:856-325-6644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA23746207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2315203Medicaid
NJ1105792OtherHORIZON NJ HEALTH
NJ22334OtherAMERIHEALTH PPO/PA BS
NJP414119OtherOXFORD
NJ160032015OtherRR MEDICARE
NJ0071882000OtherAMERIHEALTH/KEYSTON/IBC
NJ1013086OtherHORIZON NJ HEALTH
NJ1193059OtherCIGNA
NJ2051689OtherAETNA
NJ2207029OtherAETNA
NJ22334OtherPA BS HIGHMARK
NJ224519OtherUNITED HEALTHCARE
NJ3K5434OtherHEALTHNET
NJ010003807OtherAMERIICHOICE
NJ22334OtherPA BS HIGHMARK
NJ1193059OtherCIGNA
NJ2207029OtherAETNA
NJC53917Medicare UPIN