Healthcare Provider Details

I. General information

NPI: 1437251956
Provider Name (Legal Business Name): ANNE ELIZABETH ROTHMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 01/13/2023
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18310 MONTGOMERY VILLAGE AVE STE 700
GAITHERSBURG MD
20879-3560
US

IV. Provider business mailing address

18310 MONTGOMERY VILLAGE AVE STE 700
GAITHERSBURG MD
20879-3560
US

V. Phone/Fax

Practice location:
  • Phone: 301-977-2070
  • Fax: 301-330-9452
Mailing address:
  • Phone: 301-977-2070
  • Fax: 301-330-9452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0064090
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: