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Individual

DR. ANDREW M. ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8250 KENWOOD CROSSING WAY, SUITE 100, CINCINNATI, OH 45236-3668
(513) 221-5500
(513) 221-1962
Mailing address
8250 KENWOOD CROSSING WAY, SUITE 100, CINCINNATI, OH 45236-3668
(513) 221-5500
(513) 221-1962

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35039446 R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0686315
OH
05
64780075
KY
Enumeration date
06/23/2006
Last updated
04/02/2012
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