Healthcare Provider Details

I. General information

NPI: 1588669030
Provider Name (Legal Business Name): DEBORAH ROTENSTEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 LOCUST ST STE 306
PITTSBURGH PA
15219-4738
US

IV. Provider business mailing address

1350 LOCUST ST STE 306
PITTSBURGH PA
15219-4738
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-5987
  • Fax: 412-232-8549
Mailing address:
  • Phone: 412-232-5987
  • Fax: 412-232-8549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD024925E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: