Individual
DR. BRIDGET D. ROOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4203 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
(570) 648-4010
(570) 648-5076
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD425819
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012365110005
—
PA
Enumeration date
04/25/2006
Last updated
12/06/2011
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