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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS A ROTH, MD

Active

DOUGLAS A ROTH, MD is a Plastic Surgery healthcare provider located in MOUNT KISCO, New York. NPI 1205873924 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · MOUNT KISCO, NY

Registration Details

NPI Number
1205873924
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2006 (20.212779697211 yrs)
Last Updated
Jul 22, 2016
License
186557 (NY)

Practice Information

Address
90 S BEDFORD RD
MOUNT KISCO MEDICAL GROUP, PC
MOUNT KISCO, NY, 105493412
Browse NY providers · Browse ZIP 10549
Phone
9142411050
Fax
9142422909
Primary Specialty
Plastic Surgery
208200000X
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.