Individual
ELI M ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2123 AUBURN AVE, SUITE 624, CINCINNATI, OH 45219-2906
(513) 751-4222
(513) 784-1581
Mailing address
PO BOX 631462, CINCINNATI, OH 45263-0015
(513) 751-4222
(513) 784-1581
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35040914
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000106925
ANTHEM
OH
05
—
0462431
—
OH
Enumeration date
07/18/2005
Last updated
07/08/2007
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