Jeffrey M Roth, OD

NPI #1437196631 in Syracuse, New York

Provider Information

NPI Number: 1437196631
Entity Type: Individual
Name: Jeffrey M Roth, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 31, 2006
Last Updated: Jan 4, 2010

Practice Location

Address: 725 ERIE BLVD W
City: Syracuse
State: New York
ZIP Code: 13204-2229
Phone: (315) 475-2778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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