Jeffrey Ira Roth, MD

NPI #1417945320 in Suwanee, Georgia

Provider Information

NPI Number: 1417945320
Entity Type: Individual
Name: Jeffrey Ira Roth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Oct 13, 2005
Last Updated: Dec 18, 2009

Practice Location

Address: 4385 JOHNS CREEK PKWY
Address 2: STE 250
City: Suwanee
State: Georgia
ZIP Code: 30024-6048
Phone: (770) 623-1608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary
Otolaryngology - Pediatric Otolaryngology — Pediatric Otolaryngology	207YP0228X
Otolaryngology - Otolaryngic Allergy — Otolaryngic Allergy	207YX0602X

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