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Individual

DR. DANIEL E ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0963
Mailing address
615 N WOLFE ST, BOX #1007, BALTIMORE, MD 21205-2103

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0066546
MD

Other

Enumeration date
09/11/2007
Last updated
10/23/2007
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