Individual
RUDOLF ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 KING OF PRUSSIA RD, RADNOR, PA 19087
(610) 902-2000
Mailing address
250 KING OF PRUSSIA RD, RADNOR, PA 19087
(610) 902-2400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD073956L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018542420003
—
PA
Enumeration date
06/06/2006
Last updated
08/12/2015
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