Individual provider · Type 1 NPI
Susan B. Roth, MD
Diagnostic Radiology Physician · Philadelphia, PA
NPI number
1124054465
Active
Practice location
3400 Spruce St, Ground Floor Dulles
Philadelphia, PA 19104
Fax (215) 662-7011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C1-0013061 (DE) |
| Diagnostic Radiology Physician Primary | 2085R0202X | MD045361E (PA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1124054465
Susan B. Roth, MD's National Provider Identifier is 1124054465, issued on Jun 25, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 5, 2019.