Organization
FOUNDATIONAL HEALTH RESTORATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA-ANN B ROTH M.D. (SOLE MEMBER)
(410) 833-8205
Entity
Organization
Contact information
Practice address
540 JERMOR LN STE A, WESTMINSTER, MD 21157-6490
(443) 300-6367
(443) 300-6367
Mailing address
644 COCKEYS MILL RD, REISTERSTOWN, MD 21136-5116
(410) 833-8205
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
08/16/2024
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