MEDICARE: DR ALAN M ROTHFELD LLC

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
1	213E00000X	Podiatrist	1037	MD

General Provider Information

NPI Number	:	1023298585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR ALAN M ROTHFELD LLC

Provider Business Mailing Address
First Line	:	1905 QUEENS CHAPEL RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3669
Country	:	US
Telephone Number	:	301-864-1441
Fax Number	:

Provider Business Practice Location Address
First Line	:	1905 QUEENS CHAPEL RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3669
Country	:	US
Telephone Number	:	301-864-1441
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN M ROTHFELD
Credential	:	DPM
Telephone Number	:	301-864-1441

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	07/17/2017

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