Charles B Roth

NPI #1679527956 in Margaretville, New York

Provider Information

NPI Number
1679527956
Entity Type
Individual
Name
Charles B Roth
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant
Enumeration Date
May 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
42084 STATE HIGHWAY 28
ZIP Code
12455-2820
Phone
(845) 586-2631

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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