Individual
MR. STEVEN J ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4 ERIC RD, MULLICA HILL, NJ 08062-9547
(856) 223-9646
(856) 223-9646
Mailing address
4 ERIC RD, MULLICA HILL, NJ 08062-9547
(856) 223-9646
(856) 223-9646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000905
NY
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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