Individual
DR. DANIEL JAY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1665 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2778
(860) 648-2447
Mailing address
1830 D YOUVILLE LN, ATLANTA, GA 30341-1460
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
81112
CT
Other
Enumeration date
10/12/2006
Last updated
05/08/2025
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