Most Relevant Information
Provider Data
| NPI Number: | 1477556421 |
| Provider Name: | STEVEN S. ROTH O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 27OA00378500 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1107 MANTUA PIKE
STE 722
MANTUA
NJ
80511606
Practice Location Phone/Fax
| Phone: | 8564649000 |
| Fax: | 8564641577 |
Provider Mailing Location
1107 MANTUA PIKE
STE 722
MANTUA
NJ
80511606
Provider Mailing Phone/Fax
| Phone: | 8564649000 |
| Fax: | 8564641577 |