Mark Samuel Roth
MD | Pediatrics | Male
Mark Samuel Roth, MD is a Royal Oak, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark Samuel Roth is
3601 W 13 Mile Rd, Fsc, Royal Oak, Michigan - 48073-6712. He can be contacted on phone at
248-423-2454 and fax number 248-423-2576.
Mark Samuel Roth is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Samuel Roth is
1609927334 which was assigned by NPPES on 16 Jan, 2007 and it was last updated on 08 Jul, 2007.
Mark Samuel Roth license number is
4301029387 for Pediatrics (208000000X) in Michigan.
Mark Samuel Roth is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark Samuel Roth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mark Samuel Roth |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mark Samuel Roth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3601 W 13 Mile Rd, Fsc
Royal Oak, MI, 48073-6712
United States |
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| Phone Number : | 248-423-2454 |
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| Fax Number : | 248-423-2576 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609927334 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Jan, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Samuel Roth are as mentioned. Primary taxonomy code for Mark Samuel Roth, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301029387 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Mark Samuel Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4815014 | MEDICAID | MI | |
| 350F36132 | Other | MI | BCBSM |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3601 W 13 Mile Rd, Fsc
Royal Oak, MI, 48073
United States |
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| Phone Number : | 248-423-2454 |
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| Fax Number : | 248-423-2576 |
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Business Location:
Patients can refer following map for directions to
Mark Samuel Roth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.