Organization
ROTH EAR, NOSE & THROAT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE K ROTH M.D. (PRESIDENT)
(215) 676-4550
Entity
Organization
Contact information
Practice address
9150 MARSHALL ST, SUITE 4, PHILADELPHIA, PA 19114-2217
(215) 676-4550
(215) 676-4711
Mailing address
PO BOX 63147, PHILADELPHIA, PA 19114-0947
(215) 676-4550
(215) 676-4711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD052327L
PA
Other
Enumeration date
06/11/2007
Last updated
02/18/2011
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