Individual
DR. DONALD ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-3295
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-3295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104712
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00182123
—
NY
Enumeration date
12/07/2005
Last updated
11/11/2010
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