Organization
PLUMTREE FAMILY HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY ROTHENBERG PA-C (MEMBER, LLC)
(410) 569-4224
Entity
Organization
Contact information
Practice address
104 PLUMTREE RD STE 102, BEL AIR, MD 21015-6095
(410) 569-4224
(410) 569-4368
Mailing address
104 PLUMTREE RD STE 102, BEL AIR, MD 21015-6095
(410) 569-4224
(410) 569-4368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751202300
—
MD
01
—
CN5164
RAILROAD MEDICARE
—
Enumeration date
10/23/2007
Last updated
05/08/2025
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