Zachary Joseph Roth M.D.

NPI 1194968016 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1194968016
Gender Male
Enumeration Date 04/07/2009
Last Updated 04/30/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
713 TROY SCHENECTADY RD
SUITE 135
LATHAM NY, 12110-2490, US
Phone (518) 782-7827
Fax
Business Location
713 TROY SCHENECTADY RD
SUITE 135
LATHAM NY, 12110-2490, US
Phone (518) 782-7827
Fax
Toxanomy
Taxonomy Code 390200000X
License State New York
License Number 62884
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According to our database, Dr. Zachary Joseph Roth M.D. NPI is 1194968016, taxonomy code is 390200000X and license number is 62884, license state is located at New York. Zachary Joseph Roth M.D. physically located at 713 Troy Schenectady Rd, Latham NY, 12110-2490. NPI Number Zachary Joseph Roth M.D. has the Individual type.

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1194968016 NPI number is provided on an as is basis without warranty of any kind. 1194968016 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Joseph Roth M.D. are for informational purposes only.