Individual
DR. MAURICE ROTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9150 MARSHALL ST, SUITE 4, PHILADELPHIA, PA 19114-2217
(215) 676-4550
(215) 676-4711
Mailing address
9150 MARSHALL ST, SUITE 4, PHILADELPHIA, PA 19114-2217
(215) 676-4550
(215) 676-4711
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD052327L
PA
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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