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Individual

JAMES ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7828
(315) 470-5811
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 445-2639

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
516206
NY

Other

Enumeration date
03/08/2006
Last updated
06/30/2008
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