Individual
ELISE MARIE ROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 310, ALLENTOWN, PA 18103-6381
(610) 402-6890
Mailing address
213 WATER ST, BOYERTOWN, PA 19512-8602
(484) 752-2116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA007360
PA
363AM0700X
Medical Physician Assistant
Primary
MA066866
PA
Other
Enumeration date
09/18/2025
Last updated
11/07/2025
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