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NPI Code Detail

MEDICARE: DR. SIMON ROH M.D.

MEDICARE:  DR. SIMON  ROH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician39717IA
22085R0204XVascular & Interventional Radiology Physician288048NY
32085R0204XVascular & Interventional Radiology Physician25MA10399800NJ
42085R0204XVascular & Interventional Radiology PhysicianMD464827PA

General Provider Information

NPI Number : 1962638056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIMON ROH M.D.
Provider Business Mailing Address
First Line : 3735 NAZARETH RD STE 206
Second Line :
City : EASTON
State : PA
Zip : 18045-8346
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3735 NAZARETH RD STE 206
Second Line :
City : EASTON
State : PA
Zip : 18045-8346
Country : US
Telephone Number : 484-526-4805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2009
Last Update Date : 01/30/2025

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Directions to “ DR. SIMON ROH M.D.” Practice Location

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