Roth, Todd Stuart

Roth, Todd Stuart is an individual health care provider with primary practice located at 9050 Tradd St , Boca Raton FL 33434-5902. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Roth, Todd Stuart can be contacted via phone (804) 828-9783.

Contact Information

Primary practice address
9050 Tradd St Boca Raton FL 33434-5902
Phone: (804) 828-9783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116018547 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101245157 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 112786 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME112786 Florida

Profile Details

NPI number 1063622090
LBN Legal business name Roth, Todd Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Aug 1st, 2012 - about 12 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 1063622090 NPPES
Virginia Other C09463 GROUP PTAN

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