Jeffrey Stephen Roth MD

NPI 1043203243 - Dermatology - 207N00000X

NPI Details
NPI 1043203243
Gender Male
Enumeration Date 08/24/2005
Last Updated 08/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
580 PARK AVE
NEW YORK NY, 10065-7313, US
Phone (212) 752-3692
Fax (212) 838-5636
Business Location
580 PARK AVE
NEW YORK NY, 10065-7313, US
Phone (212) 752-3692
Fax (212) 838-5636
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 1828581
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According to our database, Dr. Jeffrey Stephen Roth MD NPI is 1043203243, taxonomy code is 207N00000X and license number is 1828581, license state is located at New York. Jeffrey Stephen Roth MD physically located at 580 Park Ave, New York NY, 10065-7313. NPI Number Jeffrey Stephen Roth MD has the Individual type.

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1043203243 NPI number is provided on an as is basis without warranty of any kind. 1043203243 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Stephen Roth MD are for informational purposes only.