Individual
DR. DANIEL J ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 MCAULEY PL, SUITE 115, BLUE ASH, OH 45242-4733
(513) 981-4646
(513) 981-4647
Mailing address
4600 MCAULEY PL, SUITE 115, BLUE ASH, OH 45242-4733
(513) 981-4646
(513) 981-4647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138225
—
OH
Enumeration date
12/05/2006
Last updated
01/11/2013
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