Individual
JESSICA ANN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-7846
(617) 636-5178
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5172
(617) 636-5178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
PA6909
MA
Other
Enumeration date
10/28/2018
Last updated
08/19/2025
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