Individual
SUZANNE M ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC, RNC
Contact information
Practice address
110 2ND ST, PH 11, CAMBRIDGE, MA 02141-2142
(617) 714-3407
Mailing address
110 2ND ST, PH 11, CAMBRIDGE, MA 02141-2142
(617) 714-3407
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
163373
MA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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