Individual
ELIZABETH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MT212071
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT212071
BOARD OF MEDICINE
PA
Enumeration date
06/22/2016
Last updated
06/22/2016
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