Organization
RICHARD E ROTH DO LLC
Active
Organization
RICHARD E ROTH DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E ROTH DO (OWNER)
(215) 531-7702
Entity
Organization
Contact information
Practice address
608 NORTH BETHLEHEM PIKE, AMBLER, PA 19002
(215) 531-7702
Mailing address
608 NORTH BETHLEHEM PIKE, AMBLER, PA 19002
(215) 531-7702
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS011086
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001968181
—
PA
Enumeration date
05/12/2008
Last updated
05/12/2008
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