Provider Demographics
NPI:1306683297
Name:ROJAS, CRYSTAL MAE
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:MAE
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BERGEN AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08105-4262
Mailing Address - Country:US
Mailing Address - Phone:856-353-8299
Mailing Address - Fax:
Practice Address - Street 1:1100 BERGEN AVE APT 9
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-4262
Practice Address - Country:US
Practice Address - Phone:856-353-8299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty