Individual
HARRY ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 MAIN ST, MILLBURN, NJ 07041-1304
(973) 379-5995
(973) 379-5822
Mailing address
36 MAIN ST, MILLBURN, NJ 07041-1304
(973) 379-5995
(973) 379-5822
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D-1676
NJ
Other
Enumeration date
10/23/2006
Last updated
06/10/2008
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