Individual
DR. STEVEN S. ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1107 MANTUA PIKE, STE 722, MANTUA, NJ 08051-1606
(856) 464-9000
(856) 464-1577
Mailing address
1107 MANTUA PIKE, STE 722, MANTUA, NJ 08051-1606
(856) 464-9000
(856) 464-1577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00378500
NJ
152W00000X
Optometrist
27TO00030000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254417
—
NJ
Enumeration date
05/23/2005
Last updated
07/08/2007
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