Individual
DR. BARRY HOWARD ROTH
Active
Individual
DR. BARRY HOWARD ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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