Organization
DR. STEVEN S. ROTH, WEST DEPTFORD EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN S. ROTH O.D. (OWNER)
(856) 464-9000
Entity
Organization
Contact information
Practice address
1107 MANTUA PIKE, SUITE 722, MANTUA, NJ 08051-1606
(856) 464-9000
(856) 464-1577
Mailing address
1107 MANTUA PIKE, SUITE 722, MANTUA, NJ 08051-1606
(856) 464-9000
(856) 464-1577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00378500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254417
—
NJ
Enumeration date
06/13/2007
Last updated
08/12/2008
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