MEDICARE: DR. DAVID J ROTHFELD 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
1	2085R0202X	Diagnostic Radiology Physician	D36440	MD

General Provider Information

NPI Number	:	1841287257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J ROTHFELD M.D,

Provider Business Mailing Address
First Line	:	9357 SEAHORSE BAY DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7105
Country	:	US
Telephone Number	:	240-388-5114
Fax Number	:	888-948-4276

Provider Business Practice Location Address
First Line	:	9357 SEAHORSE BAY DR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7105
Country	:	US
Telephone Number	:	240-388-5114
Fax Number	:	888-948-4276

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	08/01/2022

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