Julie L Roth in Providence - Clinical Neurophysiology
Julie L Roth - NPI 1063673713
Julie L Roth is a Clinical Neurophysiology in Providence, Rhode Island. Julie L Roth practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Julie L Roth is 1063673713. The last update date is 2015-01-06.
Julie L Roth's current location address is 2 Dudley St, Providence, Rhode Island. You can contact this provider via phone number 4014444364 and fax number 4014443236. The mailing address for Julie L Roth is 2 Dudley St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie L Roth |
|---|---|
| Address | 2 Dudley St, Providence, Rhode Island |
| Phone Number | 4014444364 |
| Fax Number | 4014443236 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063673713 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2015-01-06 |
Provider Mailing Address Detail
| Address | 2 Dudley St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29053236 |
| Phone Number | 4014444364 |
| Fax Number | 4014443236 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | LP01397 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1063673713 | RI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Julie L Roth by the Centers for Medicare & Medicaid Services?
The Julie L Roth has been issued the NPI (National Provider Identifier) 1063673713. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Julie L Roth is physically located?
The Julie L Roth is situated at the following address: 2 Dudley St, Providence, RI 29053236.
What is the Julie L Roth's specialty and taxonomy code?
The Julie L Roth's specialty is Clinical Neurophysiology, and the corresponding taxonomy code is 2084N0600X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063673713 to Julie L Roth?
The Centers for Medicare & Medicaid Services assigned the 1063673713 to Julie L Roth on 2008-06-24.
When was the Julie L Roth's information last updated?
The Julie L Roth's information was last updated on 2015-01-06.
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