Healthcare Provider Details

I. General information

NPI: 1528058237
Provider Name (Legal Business Name): CHRISTOPHER P ROTHSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N DUKE ST
LANCASTER PA
17602-2250
US

IV. Provider business mailing address

PO BOX 4216
LANCASTER PA
17604-4216
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-4900
  • Fax: 717-544-5907
Mailing address:
  • Phone: 717-412-1295
  • Fax: 717-590-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD31039
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD417753
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD417753
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD31039
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: