# SHARI ROTH, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730327818
- **Authorized official:** DR. SHARI M. ROTH M.D. (MEMBER)
- **Authorized official phone:** (860) 523-1900

## Contact information

- **Practice address:** 21 WOODLAND ST STE 222, HARTFORD, CT 06105-4318
- **Practice address phone:** (860) 523-1900
- **Practice address fax:** (860) 247-3347
- **Mailing address:** PO BOX 415, WINDSOR, CT 06095-0415
- **Mailing address phone:** (860) 925-6463
- **Mailing address fax:** (860) 925-6120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 032607 | CT | Yes |

## Other

- **Enumeration date:** 01/28/2009
- **Last updated:** 01/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001326075 | — | CT |