Individual provider · Type 1 NPI

Julie L. Roth, MD

Clinical Neurophysiology Physician · Providence, RI

NPI number 1063673713 Active

Practice location

593 Eddy St, APC-5
Providence, RI 02903-4923

Call (401) 444-3032 Map

Fax (401) 444-3205

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Specialties and licenses

Taxonomy	Code	License
Clinical Neurophysiology Physician Primary	2084N0600X	MD12830 (RI)
Neurology Physician	2084N0400X	MD12830 (RI)

Clinical Neurophysiology Physician: 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 as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

2,340 other providers at this address

About NPI 1063673713

Julie L. Roth, MD's National Provider Identifier is 1063673713, issued on Jun 24, 2008. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Providence, RI. The record was last updated on Dec 18, 2025.