Individual
STEVEN R ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 783-0523
(401) 783-9448
Mailing address
PO BOX 2153 DEPT 40338, BIRMINGHAM, AL 35287-9386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11109
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7050013
—
RI
Enumeration date
07/03/2006
Last updated
08/20/2020
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