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Individual

MRS. FRUMA RAIZEL ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7 LANCASTER WAY, JACKSON, NJ 08527-1254
(718) 607-4348
Mailing address
7 LANCASTER WAY, JACKSON, NJ 08527-1254
(718) 607-4348

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00421300
NJ

Other

Enumeration date
01/09/2017
Last updated
01/20/2026
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