Individual
DAVID LAWRENCE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13951 TERRACE RD, CLEVELAND, OH 44112-4308
(216) 761-3300
Mailing address
4560 LANDER RD, CHAGRIN FALLS, OH 44022-1702
(440) 498-1699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78662
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442257
—
OH
Enumeration date
07/06/2006
Last updated
07/08/2007
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