Organization
JOHN ROTH, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROTH DPM (OWNER)
(410) 455-9660
Entity
Organization
Contact information
Practice address
2 E ROLLING CROSSROADS, SUITE 55, CATONSVILLE, MD 21228-6211
(410) 455-9660
(410) 455-9665
Mailing address
2 E ROLLING CROSSROADS, SUITE 55, CATONSVILLE, MD 21228-6211
(410) 455-9660
(410) 455-9665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-00297
UNITED HEALTHCARE OF MID-ATLANTIC
MD
01
—
31463
UNITED HEALTHCARE
MD
05
—
408078500
—
MD
01
—
4309156
AETNA
MD
01
—
77530002
CAREFIRST BLUECHOICE
MD
01
—
T210
CAREFIRST BLUECROSS BLUESHIELD
MD
Enumeration date
09/22/2010
Last updated
10/21/2010
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