Individual
DR. HENRY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 PINE ST, RED BANK, NJ 07701-6104
(732) 747-4646
Mailing address
410 PINE ST, RED BANK, NJ 07701-6104
(732) 747-4646
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO5489
NJ
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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