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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GIDEON M ROQUIZ

Active Sole Proprietor

GIDEON M ROQUIZ is a Tumor Registrar healthcare provider located in ERIE, Pennsylvania. NPI 1124169644 is currently active in the NPPES registry. Verify at CMS.

Tumor Registrar · ERIE, PA

Registration Details

NPI Number
1124169644
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2007 (19.544052876998 yrs)
Last Updated
May 1, 2008
License
18457 (MD)
Sole Proprietor
Yes

Practice Information

Address
5205 COVENTRY DR
ERIE, PA, 165066107
Browse PA providers · Browse ZIP 16506
Phone
8148352362
Fax
8148352362
Primary Specialty
Tumor Registrar
246XS1301X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.