Individual
DR. MARK ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NATIONAL CANCER INSTITUTE BLDG 10, ROOM 2S235K, BETHESDA, MD 20892-0001
(301) 480-8067
Mailing address
6118 OFFUTT RD, CHEVY CHASE, MD 20815-5427
(240) 468-3915
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
D0046369
MD
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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