Individual
BETH ROBINS ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 MONTOWESE ST STE 5, BRANFORD, CT 06405-3841
(203) 824-1249
Mailing address
PO BOX 185301, HAMDEN, CT 06518-0301
(203) 824-1249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000440
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008009705
—
CT
Enumeration date
09/19/2006
Last updated
12/09/2023
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