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NPI Code Detail

MEDICARE: MARC ROTHMAN MD

MEDICARE:   MARC  ROTHMAN  MD
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
12084P0800XPsychiatry PhysicianMA37294NJ
22084P0805XGeriatric Psychiatry PhysicianMA37294NJ
32084P0805XGeriatric Psychiatry PhysicianMD019569EPA

General Provider Information

NPI Number : 1700884889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC ROTHMAN MD
Provider Business Mailing Address
First Line : 1767 GARWOOD DR
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-3205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 219 REECEVILLE RD
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-1542
Country : US
Telephone Number : 610-383-8470
Fax Number : 610-383-8295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 09/11/2009

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Directions to “ MARC ROTHMAN MD” Practice Location

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