Village Pediatrics Pllc
NPI #1962780767 in Beverly Hills, Michigan
Provider Information
- NPI Number
- 1962780767
- Entity Type
- Organization
- Organization Name
- Village Pediatrics Pllc
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Jul 27, 2011
- Last Updated
- Jul 27, 2011
Practice Location
- Address
- 31815 SOUTHFIELD RD
- Address 2
- SUITE 14
- City
- Beverly Hills
- State
- Michigan
- ZIP Code
- 48025-5471
- Phone
- (248) 644-5626
Authorized Official
- Name
- DR. HERBERT J ROTH, M.D
- Title
- PRESIDENT
- Phone
- (248) 644-5626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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