Individual
SHARI MADELENE ROTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 FARMINGTON AVE, SUITE 121, WEST HARTFORD, CT 06119-1505
(860) 523-1900
(860) 236-3607
Mailing address
836 FARMINGTON AVE, SUITE 121, WEST HARTFORD, CT 06119-1505
(860) 523-1900
(860) 236-3607
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
032607
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001326075
—
CT
Enumeration date
02/28/2006
Last updated
07/08/2007
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