Individual
JONATHAN A ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BOWMAN DR, SUITE E360, VOORHEES, NJ 08043-9623
(856) 751-7880
Mailing address
200 BOWMAN DR, STE E360, VOORHEES, NJ 08043-9623
(856) 751-7880
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA07949600
NJ
208800000X
Urology Physician
MD061311L
PA
Other
Enumeration date
02/27/2006
Last updated
03/24/2016
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