# ANDREAS D. ROTSIDES, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104880061
- **Authorized official:** DR. ANDREAS D ROTSIDES MD (OWNER)
- **Authorized official phone:** (973) 328-1040

## Contact information

- **Practice address:** 195 US HIGHWAY 46, SUITE 200, MINE HILL, NJ 07803-3163
- **Practice address phone:** (973) 328-1040
- **Practice address fax:** (973) 328-1544
- **Mailing address:** 195 US HIGHWAY 46, SUITE 200, MINE HILL, NJ 07803-3163
- **Mailing address phone:** (973) 328-1040
- **Mailing address fax:** (973) 328-1544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA05010400 | NJ | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 25MA05010400 | NJ | — |

## Other

- **Enumeration date:** 04/16/2006
- **Last updated:** 09/08/2009