Steven R Roth MD

NPI 1750311296 - Family Medicine - 207Q00000X

NPI Details
NPI 1750311296
Gender Male
Enumeration Date 07/03/2006
Last Updated 08/19/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1 RIVER ST
WAKEFIELD RI, 02879-3214, US
Phone (401) 783-0523
Fax (401) 783-9448
Business Location
3001 KEITH NWST
CLEVELAND TN, 37312-3713, US
Phone (423) 473-5038
Fax (401) 235-6899
Toxanomy
Taxonomy Code 207Q00000X
License State Rhode Island
License Number MD11109
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According to our database, Steven R Roth MD NPI is 1750311296, taxonomy code is 207Q00000X and license number is MD11109, license state is located at Rhode Island. Steven R Roth MD physically located at 1 River St, Wakefield RI, 02879-3214. NPI Number Steven R Roth MD has the Individual type.

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1750311296 NPI number is provided on an as is basis without warranty of any kind. 1750311296 is maintained by the National Plan & Provider Enumeration System. The contents of Steven R Roth MD are for informational purposes only.