Provider Demographics
NPI:1730498049
Name:ROESLER, ALICIA ANN (MS, PA-C)
Entity type:Individual
Prefix:MISS
First Name:ALICIA
Middle Name:ANN
Last Name:ROESLER
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:SCHUMAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:609-914-6000
Mailing Address - Fax:609-914-6182
Practice Address - Street 1:175 MADISON AVE FL 1
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-2099
Practice Address - Country:US
Practice Address - Phone:609-914-6000
Practice Address - Fax:609-914-6182
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054606363AM0700X
NY014246363AM0700X
NJ25MP00270700363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical