Susan Beth Roth
Medical Specialty
Professional ID
- NPI: 1124054465
- PECOS ID: 1254510241
- Enrollment ID: I20161122001362
- Credential(MD, DO, DPM):
- Medical School: University Of Pennsylvania School Of Medicine
- Medical School Graduation Year: 1984
Hospital Service
- Hospital CCN1: 390111
- Business Name (LBN)1: Hospital Of Univ Of Pennsylvania
- Hospital CCN2: 390226
- Business Name (LBN)2: Pennsylvania Hospital
- Hospital CCN3: 390223
- Business Name (LBN)3: Penn Presbyterian Medical Center
- Hospital CCN4: 390179
- Business Name (LBN)4: Chester County Hospital
- Hospital CCN5: 310022
- Business Name (LBN)5: Virtua West Jersey Hospitals Berlin
Medical Practices
- Organization Name: Clinical Health Care Associates Of New Jersey, Pc
- Group Practice ID assigned by PECOS: 0749180198
- Number of Group Practice member: 264
Location
- Address1: 1006 Mantua Pike
- Address2:
- City: Woodbury
- State: New Jersey
- Zip Code: 08097
- Phone Number: (856)845-8600
Location
- Address1: 1865 Route 70 E 130
- Address2: Penn Medicine Radiology
- City: Cherry Hill
- State: New Jersey
- Zip Code: 08003
- Phone Number: (856)433-2535
Medical Practices
- Organization Name: University Of Penn Medical Group
- Group Practice ID assigned by PECOS: 6204730955
- Number of Group Practice member: 2279
Location
- Address1: 3400 Spruce St
- Address2: Department Of Radiology
- City: Philadelphia
- State: Pennsylvania
- Zip Code: 19104
- Phone Number: (215)662-3000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):