MEDICARE: DR. ALAN M ROTHFELD DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	1037	MD

General Provider Information

NPI Number	:	1023010949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN M ROTHFELD DPM

Provider Business Mailing Address
First Line	:	1905 QUEENS CHAPEL RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3669
Country	:	US
Telephone Number	:	301-864-1441
Fax Number	:

Provider Business Practice Location Address
First Line	:	1905 QUEENS CHAPEL RD
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3669
Country	:	US
Telephone Number	:	301-864-1441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	11/15/2007

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