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NPI Code Detail

MEDICARE: DR. JOSEPH ROTHMAN M.D.

MEDICARE: DR. JOSEPH ROTHMAN 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
1208600000XSurgery Physician095556NY

General Provider Information

NPI Number : 1336584333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ROTHMAN M.D.
Provider Business Mailing Address
First Line : 1316 E 24TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5143
Country : US
Telephone Number : 718-253-1222
Fax Number : 718-253-1222
Provider Business Practice Location Address
First Line : 1316 E 24TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5143
Country : US
Telephone Number : 718-253-1222
Fax Number : 718-253-1222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2013
Last Update Date : 05/03/2013

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