Organization
SHARI ROTH, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI M. ROTH M.D. (MEMBER)
(860) 523-1900
Entity
Organization
Contact information
Practice address
21 WOODLAND ST STE 222, HARTFORD, CT 06105-4318
(860) 523-1900
(860) 247-3347
Mailing address
PO BOX 415, WINDSOR, CT 06095-0415
(860) 925-6463
(860) 925-6120
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
01/28/2009
Last updated
01/15/2021
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