Healthcare Provider Details

I. General information

NPI: 1629073838
Provider Name (Legal Business Name): STANLEY R ROTHSCHILD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW STE 248
WASHINGTON DC
20016-3610
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW STE 248
WASHINGTON DC
20016-3610
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-0706
  • Fax: 202-686-6278
Mailing address:
  • Phone: 202-244-0706
  • Fax: 202-686-6278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD6310
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: