Provider Demographics
NPI:1942533500
Name:ROTH, ARNOLD M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:M
Last Name:ROTH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4 ARGYLL CT
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2407
Mailing Address - Country:US
Mailing Address - Phone:908-754-0737
Mailing Address - Fax:908-754-0737
Practice Address - Street 1:1814 E 2ND ST
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1751
Practice Address - Country:US
Practice Address - Phone:908-322-6611
Practice Address - Fax:908-322-8665
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA01991600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine