Individual
DR. KELLY ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 ROUTE 23, FRANKLIN, NJ 07416-2008
(973) 209-4253
Mailing address
1 LAUREN LN, SUSSEX, NJ 07461-4116
(973) 537-9743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03586900
NJ
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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