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Organization
NEIL S ROTH MD PA
Active
Organization
NEIL S ROTH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL S ROTH MD (PRESIDENT (OWNER))
(212) 861-2300
Entity
Organization
Contact information
Practice address
37 W CENTURY RD STE 101, PARAMUS, NJ 07652-1466
(212) 861-2300
Mailing address
210 E 64TH ST FL 4, NEW YORK, NY 10065-7471
(212) 861-2300
(212) 861-2300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XX-XXX4031
TIN
NJ
Enumeration date
05/13/2019
Last updated
05/13/2019
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