Roth & Russin LLC

NPI #1578587911 in Wayne, Pennsylvania

Provider Information

NPI Number: 1578587911
Entity Type: Organization
Organization Name: Roth & Russin LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 124 BLOOMINGDALE AVE
City: Wayne
State: Pennsylvania
ZIP Code: 19087-3929
Phone: (610) 687-6888

Authorized Official

Name: DR. RICHARD E ROTH, DO
Title: OWNER
Phone: (610) 687-6888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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