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NPI Code Detail

MEDICARE: DR. HOWARD A ROTTENBERG M.D.

MEDICARE: DR. HOWARD A ROTTENBERG 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
1208800000XUrology Physician18543GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538128897
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD A ROTTENBERG M.D.
Provider Business Mailing Address
First Line : 980 JOHNSON FERRY RD NE
Second Line : SUITE 270
City : ATLANTA
State : GA
Zip : 30342-1626
Country : US
Telephone Number : 404-256-5332
Fax Number : 404-255-4513
Provider Business Practice Location Address
First Line : 980 JOHNSON FERRY RD NE
Second Line : SUITE 270
City : ATLANTA
State : GA
Zip : 30342-1626
Country : US
Telephone Number : 404-256-5332
Fax Number : 404-255-4513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 07/15/2013

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Directions to “ DR. HOWARD A ROTTENBERG M.D.” Practice Location

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