Doctor Name: | MRS. KAMELA L ROTH |
NPI Number: | 1033437819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | OA000243L |
Business Practice Address: | 599 W State St Suite 301 Doylestown, PA - 189012567 |
Business Phone Number: | 2154892066 |
Business Fax Number: | 2154891166 |
Mailing Address: | 599 W State St, Suite 301 DOYLESTOWN |
State: | PA |
Postal Code: | 189012567 |
Phone Number: | 2154892066 |
Fax Number: | 2154891166 |
NPI Enumeration Date: | 05/04/2010 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | OA000243L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |