Roth, Shari Madelene

Roth, Shari Madelene is an individual health care provider with primary practice located at 836 Farmington Ave Suite 121, West Hartford CT 06119-1505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Roth, Shari Madelene can be contacted via phone (860) 523-1900.

Contact Information

Primary practice address
836 Farmington Ave Suite 121 West Hartford CT 06119-1505
Phone: (860) 523-1900
Fax: (860) 236-3607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 032607 Connecticut

Profile Details

NPI number 1538135579
LBN Legal business name Roth, Shari Madelene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538135579 NPPES
Connecticut MEDICAID 001326075

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