Individual
MIRIAM DEBORAH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2767
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2767
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
212-612
NY
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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