Individual
DR. AARON EDWARD ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 SEACORD RD, NEW ROCHELLE, NY 10804-3217
(914) 949-3988
Mailing address
90 SEACORD RD, NEW ROCHELLE, NY 10804-3217
(914) 949-3988
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
191879-1
NY
207QA0505X
Adult Medicine Physician
25MA09806500
NJ
208600000X
Surgery Physician
Primary
191879-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09806500
NJ MEDICAL LICENSE
NJ
Enumeration date
07/08/2005
Last updated
08/08/2024
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