Whalio Doctors

NPI 1386764785

Leslie Aileen Roth, MD

Practitioner Colon & Rectal Surgery Physician Providence, RI

Practice location

Address
208 Collyer St Suite 302, Providence, RI 02904-1560
Phone
(401) 553-8312
Fax
(401) 868-2306
Mailing address
PO Box 16149, Rumford, RI 02916-0697

Registered specialties (2)

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence MD12703 (RI)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD429123 (PA)

Registry record

NPI
1386764785
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Mar 2007
Record last updated
29 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.