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Individual
MICHAEL L ROTHBERG
Active
Individual
MICHAEL L ROTHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05222900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300235859
BLUE CROSS BLUE SHIELD
NJ
01
—
305495
MHN
NJ
01
—
72142700
MAGELLAN
NJ
01
—
P3175428
OXFORD
NJ
Enumeration date
06/20/2006
Last updated
05/03/2019
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