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Individual
MARY ELIZABETH WROTH
Active
Individual
MARY ELIZABETH WROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0059767
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124664
PRIORITY PARTNERS
MD
01
—
1315279
CIGNA
—
01
—
189116
COVENTRY
DE
01
—
614339
NCPPO
—
01
—
61890602
CAREFIRST
MD
01
—
93721
AMERIGROUP
MD
01
—
W4320006
BLUE CHOICE
DC
Enumeration date
12/28/2006
Last updated
07/08/2007
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