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1831271410
JONATHAN MICHAEL ROTH
WAYNE, NJ
NPI
1831271410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: NJ 25MA10080100)
Enumeration Date
2006-10-20
Last Update Date
2019-04-12
Business Address
Dr. JONATHAN MICHAEL ROTH M.D.
1055 HAMBURG TPKE
WAYNE, NJ 07470-3235
Phone number: 973-616-0200
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Mailing Address
Dr. JONATHAN MICHAEL ROTH M.D.
P.O. BOX 416457
BOSTON, MA 02241-6457
Phone number:
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