Jerry M Roth MD

NPI 1023014123 - Internal Medicine - 207R00000X

NPI Details
NPI 1023014123
Gender Male
Enumeration Date 06/23/2005
Last Updated 07/14/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
501 STREET RD
SOUTHAMPTON PA, 18966-3746, US
Phone (215) 357-5780
Fax
Business Location
501 STREET RD
SOUTHAMPTON PA, 18966-3746, US
Phone (215) 357-5780
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD030012E
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According to our database, Dr. Jerry M Roth MD NPI is 1023014123, taxonomy code is 207R00000X and license number is MD030012E, license state is located at Pennsylvania. Jerry M Roth MD physically located at 501 Street Rd, Southampton PA, 18966-3746. NPI Number Jerry M Roth MD has the Individual type.

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1023014123 NPI number is provided on an as is basis without warranty of any kind. 1023014123 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry M Roth MD are for informational purposes only.