Individual
DOUGLAS M ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
85 WOODLAND RD, SUMMIT MEDICAL GROUP, SHORT HILLS, NJ 07078-2449
(973) 315-9076
(973) 376-0357
Mailing address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(973) 376-0357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB53578
NJ
Other
Enumeration date
02/06/2006
Last updated
07/09/2019
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