Healthcare Provider Details

I. General information

NPI: 1316880222
Provider Name (Legal Business Name): WILLIAM D ROTELLA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

749 NORTHERN BLVD
SOUTH ABINGTON TOWNSHIP PA
18411-9062
US

IV. Provider business mailing address

749 NORTHERN BLVD
SOUTH ABINGTON TOWNSHIP PA
18411-9062
US

V. Phone/Fax

Practice location:
  • Phone: 570-319-1046
  • Fax: 570-586-3953
Mailing address:
  • Phone: 570-319-1046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM DOUGLAS ROTELLA
Title or Position: OWNER
Credential: MD
Phone: 570-319-1046