Roth, Jerry M

Roth, Jerry M is an individual health care provider with primary practice located at 501 Street Rd Ste 101 , Southampton PA 18966-3796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roth, Jerry M can be contacted via phone (215) 357-5780.

Contact Information

Primary practice address
501 Street Rd Ste 101 Southampton PA 18966-3796
Phone: (215) 357-5780
Fax: (215) 364-8983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD030012E Pennsylvania

Profile Details

NPI number 1023014123
LBN Legal business name Roth, Jerry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Feb 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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