| Company Name | Roseville Medical Group, P.a. |
| EID | 100002875 |
| City | Newark |
| Entity Type | PA |
| Date | 8/22/1975 |
| City, State, ZIP | East Orange, NJ, 07017 |
| Principal Address Line 1 | 346 Roseville Avenue |
| Years Due | 2025 |
| Main Address Line 1 | 613 Park Avenue |
| Registered Agent | Alexander Salerno, MD |
| RA Number | 2699122 |
| RA Address Line 1 | 613 Park Avenue |
| RA City, State, ZIP | East Orange, NJ, 07017 |
| Executives | Name 1 Alexander Salerno, Md Title 1 President Address 1 C/o Salerno Medical Associates 613 Park Avenue, East Orange, Nj 07017 |