CHARLES J. ROTH

PORTLAND, ME
NPI1740305226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA628)
Enumeration Date2007-03-21
Last Update Date2021-09-09
Business Address
CHARLES J. ROTH PA-C
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-828-2100
Mailing Address
CHARLES J. ROTH PA-C
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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