Individual
JONATHAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, TOWER BLDG., 3RD FLOOR, SUITE 3006, PHILADELPHIA, PA 19141-3018
(215) 456-7979
(215) 456-8539
Mailing address
5501 OLD YORK RD, TOWER BLDG., 3RD FLOOR, SUITE 3006, PHILADELPHIA, PA 19141-3018
(215) 456-7979
(215) 456-8539
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD033715E
PA
Other
Enumeration date
05/17/2006
Last updated
09/04/2015
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