National Provider Identifier Database

JULIE L ROTH, MD – NPI #1063673713
Clinical Neurophysiology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).


Contact Information

JULIE L ROTH, MD
593 EDDY ST
APC-5
PROVIDENCE, RI02903-4923
Phone: 401-444-3032
Fax: 401-444-3205
Website:
Specialty Taxonomy Code
* Clinical Neurophysiology 2084N0600X
Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for JULIE L ROTH

NPI Number 1063673713
Credentials MD
Entity Individual
Enumeration date 06/24/2008
Last updated 12/18/2025 - About 6 months ago
Sole proprietor1 No
Identifiers
  • RI License #: MD12830
  • MA Medicaid: 110084239A
  • RI Medicaid: 1063673713
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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