Doctor Name: | TED ROTH |
NPI Number: | 1174503866 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 016635 |
Business Practice Address: | 287 Main St Ste 200 Lewiston, ME - 042407054 |
Business Phone Number: | 2077957180 |
Business Fax Number: | |
Mailing Address: | 287 Main St, Ste 200 LEWISTON |
State: | ME |
Postal Code: | 042407054 |
Phone Number: | 2077957180 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 016635 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |