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NPI Code Detail

MEDICARE: DR. MARTIN PAUL ROTHBERG M.D.

MEDICARE: DR. MARTIN PAUL ROTHBERG M.D.
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
1207R00000XInternal Medicine Physician0014724FL

General Provider Information

NPI Number : 1275532269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN PAUL ROTHBERG M.D.
Provider Business Mailing Address
First Line : 9049 SW 87TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33176-2304
Country : US
Telephone Number : 305-274-9175
Fax Number : 305-274-0817
Provider Business Practice Location Address
First Line : 9049 SW 87TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33176-2304
Country : US
Telephone Number : 305-274-9175
Fax Number : 305-274-0817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/08/2007

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