Healthcare Provider Details

I. General information

NPI: 1205843166
Provider Name (Legal Business Name): JILL N ROTHSCHILD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL INSTITUTES OF HEALTH
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

5025 RODMAN RD
BETHESDA MD
20816-1761
US

V. Phone/Fax

Practice location:
  • Phone: 240-858-2621
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0082889
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0082889
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: