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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 Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for JULIE L ROTH · (Female)

NPI # 1063673713
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2008
Last updated 12/18/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • RI License # MD12830
  • MA Medicaid 110084239A
  • RI Medicaid 1063673713
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
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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