Individual
MR. ROBERT J ROTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2557 MOWRY AVE, STE 34, FREMONT, CA 94538
(510) 797-4111
(410) 797-3320
Mailing address
2557 MOWRY AVE, STE 34, FREMONT, CA 94538
(510) 797-4111
(410) 797-3320
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C25011
CA
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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