Individual
JASON ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 SILVERSIDE RD STE 104, WILMINGTON, DE 19809-1768
(844) 365-7246
(844) 516-0080
Mailing address
223 WILMINGTON W CHESTER PIKE STE 214, CHADDS FORD, PA 19317-9007
(844) 365-7246
(610) 361-7956
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
C2-0013778
DE
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C2-0013778
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250588337
—
DE
05
—
452046700
—
MD
Enumeration date
04/01/2015
Last updated
10/31/2022
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