Individual
DR. BARRY HOWARD ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 WASHINGTON ST, SUITE 4, BROOKLINE, MA 02445-6873
(603) 788-2521
Mailing address
PO BOX 432, LANCASTER, NH 03584-0432
(603) 788-2521
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163724
—
MA
05
—
1019885
—
VT
05
—
30003937
—
NH
01
—
715332
TUFTS
MA
01
—
C04793
BLUE CROSS BLUE SHIELD OF
MA
01
—
CO479301
MEDICARE PTAN
NH
Enumeration date
02/12/2007
Last updated
06/12/2012
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