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Individual

MASASHI ROTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(215) 955-6844
Mailing address
560 1ST AVE, NEW YORK, NY 10016-6402

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD441678
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0268895
NJ
05
102613738
PA
Enumeration date
06/20/2008
Last updated
03/23/2021
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