Marvin Allen Roth, MD | |
403 Cedarbrook Lane, Linwood, NJ 08221 | |
(609) 408-8635 | |
(609) 601-1538 |
Full Name | Marvin Allen Roth |
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Gender | Male |
Speciality | Family Medicine |
Location | 403 Cedarbrook Lane, Linwood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902921166 | NPI | - | NPPES |
00014756V | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA01947300 (New Jersey) | Primary |
Entity Name | State Of New Jersey Omb Centralized Payroll |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982642641 PECOS PAC ID: 6406742592 Enrollment ID: O20050420000657 |
Mailing Address | Practice Location Address |
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Marvin Allen Roth, MD 403 Cedarbrook Lane, Linwood, NJ 08221 Ph: (609) 408-8635 | Marvin Allen Roth, MD 403 Cedarbrook Lane, Linwood, NJ 08221 Ph: (609) 408-8635 |
Dr. Richard A Kader, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 New Rd Ste 150a, Linwood, NJ 08221 Phone: 609-788-3338 Fax: 609-788-3348 | |
Jodi S Abramowitz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 New Rd, Suite 11, Linwood, NJ 08221 Phone: 609-927-6100 | |
Mark Pernice, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2106 New Rd, Suite D1, Linwood, NJ 08221 Phone: 609-927-9545 Fax: 609-927-2920 | |
Brian Edward Sokalsky, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 New Rd Ste A, Linwood, NJ 08221 Phone: 609-904-2565 Fax: 609-904-2566 |