Provider Demographics
NPI:1710905161
Name:TURBIN, ROGER ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:ERIC
Last Name:TURBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:90 BERGEN ST
Mailing Address - Street 2:DOC ROOM 6177
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2425
Mailing Address - Country:US
Mailing Address - Phone:973-972-2209
Mailing Address - Fax:973-972-2068
Practice Address - Street 1:90 BERGEN ST
Practice Address - Street 2:DOC ROOM 6177
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2425
Practice Address - Country:US
Practice Address - Phone:973-972-2209
Practice Address - Fax:973-972-2068
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA069322207W00000X
NJ25MA06932200207WX0109X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology