Organization
ROTH FAMILY MEDICINE,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA ROTH MD (PRESIDENT)
(330) 864-0902
Entity
Organization
Contact information
Practice address
3094 W MARKET ST, SUITE 136, FAIRLAWN, OH 44333-3626
(330) 864-0902
Mailing address
3094 W MARKET ST, FAIRLAWN, OH 44333-3626
(330) 864-0902
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35-06-6638R
OH
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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