Organization
DR JOHN G ROTH & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G ROTH D.P.M. (OWNER)
(410) 455-9660
Entity
Organization
Contact information
Practice address
2 E ROLLING CROSSROADS, SUITE 55, CATONSVILLE, MD 21228-6211
(410) 455-9660
(410) 455-9665
Mailing address
2 E ROLLING CROSSROADS, SUITE 55, CATONSVILLE, MD 21228-6211
(410) 455-9660
(410) 455-9665
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00697
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104879
JOHNS HOPKINS - EHP
—
01
—
27-00297
UNITED HEALTHCARE OF THE MID-ATLANTIC
MD
01
—
31463
UNITED HEALTHCARE
MD
01
—
408078500
MEDICAID
MD
01
—
4309156
AETNA
MD
01
—
480006823
PALMETTO GBA RAILROAD MEDICARE
MD
01
—
701034P
CIGNA
MD
01
—
77530002
BLUECHOICE
MD
01
—
T210-JG-48
CAREFIRST BCBS OFMD
MD
Enumeration date
12/02/2013
Last updated
12/20/2013
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