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Contact Information

JEROME K ROTH JR, MD
17 HOSPITAL HILL RD
SHARON, CT06069
 Phone: 860-364-0225
 Fax: 860-364-1736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JEROME K ROTH JR · (Male)

NPI # 1538132972
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 03/30/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 019211
  • CT Medicaid 001192111
Hospital affiliation(s) Not Available
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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