Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIE L ROTH, MD
ActiveJULIE L ROTH, MD is a Clinical Neurophysiology healthcare provider located in PROVIDENCE, Rhode Island. NPI 1063673713 is currently active in the NPPES registry. Verify at CMS.
Clinical Neurophysiology · PROVIDENCE, RI
Registration Details
- NPI Number
- 1063673713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2008 (18.161235207412 yrs)
- Last Updated
- Dec 18, 2025
- Licenses
-
MD12830 (RI)MD12830 (RI)
Practice Information
- Address
-
593 EDDY STAPC-5PROVIDENCE, RI, 029034923Browse RI providers · Browse ZIP 02903
- Phone
- 4014443032
- Fax
- 4014443205
- Primary Specialty
-
Clinical Neurophysiology
2084N0600X
- Additional Specialty
- Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.