Individual
DR. MADISON ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1664 NEIL AVE, COLUMBUS, OH 43201-2333
(614) 292-2020
Mailing address
299 WAGON WHEEL TRL, WEXFORD, PA 15090-9328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007138
OH
Other
Enumeration date
05/31/2023
Last updated
06/05/2023
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