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1750558045 NPI number — RICHARD B ROTHMAN M.D., PH.D.

NPI Number: 1750558045
Health Care Provider/Practitioner: RICHARD B ROTHMAN M.D., PH.D.

Information about “1750558045” NPI (RICHARD B ROTHMAN M.D., PH.D.) exists in 1750558045 in HTML format HTML  |  1750558045 in plain Text format TXT  |  1750558045 in PDF (Portable Document Format) PDF  |  1750558045 in an XML format XML  formats.

NPI Number : 1750558045 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750558045",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROTHMAN",
    "FirstName": "RICHARD",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D., PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12719 FOLLY QUARTER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELLICOTT CITY",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21042-1275",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-359-9200",
    "MailingAddressFaxNumber": "866-467-9404",
    "FirstLinePracticeLocationAddress": "3923 OLD LEE HWY",
    "SecondLinePracticeLocationAddress": "SUITE 61A",
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22030-2428",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-359-9200",
    "PracticeLocationAddressFaxNumber": "866-467-9404",
    "EnumerationDate": "05/15/2008",
    "LastUpdateDate": "05/15/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084B0002X",
          "TaxonomyName": "Obesity Medicine (Psychiatry & Neurology) Physician",
          "LicenseNumber": "D34382",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084B0002X",
          "TaxonomyName": "Obesity Medicine (Psychiatry & Neurology) Physician",
          "LicenseNumber": "0101040220",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "0101040220",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "D34382",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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