Roth, S Moshe
Roth, S Moshe is an sole proprietor health care provider with primary practice located at 3111 Us Highway 9 , Old Bridge NJ 08857-2690. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roth, S Moshe can be contacted via phone (732) 679-2020.Contact Information
Primary practice address
3111 Us Highway 9
Old Bridge NJ 08857-2690
Phone: (732) 679-2020
Fax: (732) 679-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OA00463500 | New Jersey |
Profile Details
| NPI number | 1124026687 |
|---|---|
| LBN Legal business name | Roth, S Moshe |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | May 12th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124026687 | NPPES |
| New Jersey | MEDICAID | 5021103 |
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