Individual
SUSAN ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 420-4236
Mailing address
PO BOX 95000-2428, PHILADELPHIA, PA 19195-2428
(212) 420-4236
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01720438
—
NY
Enumeration date
11/08/2005
Last updated
09/18/2014
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