Healthcare Provider Details

I. General information

NPI: 1265419584
Provider Name (Legal Business Name): JAMES H. ROTHSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 KY ROUTE 321
PRESTONSBURG KY
41653-9113
US

IV. Provider business mailing address

7610 CARROLL AVE STE 100
TAKOMA PARK MD
20912-6311
US

V. Phone/Fax

Practice location:
  • Phone: 606-886-1316
  • Fax:
Mailing address:
  • Phone: 301-891-2500
  • Fax: 301-448-1679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number12009
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: