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Individual

DR. IRA MARK ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 E 59TH ST, SUITE 8A, NEW YORK, NY 10022-1304
(212) 288-2432
(212) 434-6169
Mailing address
110 E 59TH ST, SUITE 8A, NEW YORK, NY 10022-1304
(212) 288-2432
(212) 434-6169

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
156478
NY

Other

Enumeration date
04/05/2006
Last updated
07/06/2009
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