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1629514187
FRUMA RAIZEL ROTH
LAKEWOOD, NJ
NPI
1629514187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00421300)
Enumeration Date
2017-01-09
Last Update Date
2017-01-09
Business Address
Mrs. FRUMA RAIZEL ROTH PA-C
9 FLANNERY AVE
LAKEWOOD, NJ 08701
Phone number: 718-607-4348
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Mailing Address
Mrs. FRUMA RAIZEL ROTH PA-C
9 FLANNERY AVE
LAKEWOOD, NJ 08701
Phone number: 718-607-4348
Copy
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