Individual
SUSAN ROTH WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 KING OF PRUSSIA RD STE 204, RADNOR, PA 19087-4557
(610) 902-2020
(215) 243-4696
Mailing address
51 NORTH 39TH STREET, PHILADELPHIA, PA 19104-2689
(610) 902-2020
(610) 902-1604
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD054357L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015185260001
—
PA
01
—
5914840001
PTAN
PA
Enumeration date
01/12/2006
Last updated
03/25/2026
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