Individual
JEROME K ROTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 HOSPITAL HILL RD, SHARON, CT 06069
(860) 364-0225
(860) 364-1736
Mailing address
PO BOX 1736, 17 HOSPITAL HILL RD, SHARON, CT 06069
(860) 364-0225
(860) 364-1736
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
019211
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001192111
—
CT
Enumeration date
02/08/2006
Last updated
03/30/2016
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