| | Physician Last Name: | Roach |
| | Physician First Name: | Gerald |
| | Physician Middle Name: | Charles |
| | Address: | 122 Merion Way
Hainesport, New Jersey 08036 |
| | License Number: | 152413 |
| | License Type: | MD |
| | Year of Birth: |
1956
|
| | Effective Date: | 09/27/2005 |
| | Action Description for DOH Webpage: | Temporary surrender of medical license issued pursuant to New York State Public Health Law Section 230.13.The physician's New York State medical license status is currently inactive. |
| | Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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