Individual
DR. MARTA B ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3094 W MARKET ST, STE 136, FAIRLAWN, OH 44333-3617
(330) 864-0902
(330) 864-0920
Mailing address
3094 W MARKET ST, STE 136, FAIRLAWN, OH 44333-3617
(330) 864-0902
(330) 864-0920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35066638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206502
—
OH
Enumeration date
07/16/2006
Last updated
12/14/2015
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