person
Mr. Jay Edward Roth, CRNP
Psychiatric/Mental Health Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1851615066

Jay Edward Roth is a Psychiatric/Mental Health Nurse Practitioner based in Philadelphia, PA and is specialized in Psychiatric/Mental Health. Jay Edward Roth practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Jay Edward Roth is 1851615066 and holds a License No. SP010741 (Pennsylvania).

The current practice location address for Jay Edward Roth is 706 S 11Th St, Philadelphia, PA and can be reached out via phone at 215-913-7381. You can also correspond with Jay Edward Roth through the mailing address at 706 S 11TH ST, PHILADELPHIA, PA - 19147-1968 (mailing address contact number: 215-913-7381).

Location: 706 S 11Th St, Philadelphia, PA, 19147-1968
person
Provider Profile Details
NPI Number
1851615066
Provider Name
Jay Edward Roth
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
706 S 11Th St, Philadelphia, PA, 19147-1968
Phone Number
215-913-7381
Fax Number
Provider Enumeration Date
03/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
706 S 11Th St
City
State
Zip
19147-1968
Phone Number
215-913-7381
Fax Number
person
Provider Business Mailing Address Details
Address
706 S 11Th St
City
State
Zip
19147-1968
Phone Number
215-913-7381
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP010741 (Pennsylvania)
Definition
Definition to come...
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