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1891870234
RONALD ROTH
SMITHTOWN, NY
NPI
1891870234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 1206341)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- RONALD ROTH MD
100 MAPLE AVENUE
SMITHTOWN, NY 11787
Phone number: 631-265-7671
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Mailing Address
-- RONALD ROTH MD
100 MAPLE AVENUE
SMITHTOWN, NY 11787
Phone number: 631-265-7671
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