Individual
CHAIM ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT (R)(CT)
Contact information
Practice address
222 JUMPING BROOK DR, TOMS RIVER, NJ 08755-1002
(347) 684-3120
Mailing address
222 JUMPING BROOK DR, TOMS RIVER, NJ 08755-1002
(347) 684-3120
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
156F00000X
Technician/Technologist
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
656490
NJ
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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