Individual
DAVID ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, 6 GATES, PHILADELPHIA, PA 19104-4238
(215) 615-6510
Mailing address
3400 SPRUCE ST, 6 GATES, PHILADELPHIA, PA 19104-4238
(215) 615-6510
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD443930
PA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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