Individual
FREDERICK J ROTHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9 MULE RD, TOMS RIVER, NJ 08755-5043
(732) 797-1535
(732) 797-1595
Mailing address
2290 W COUNTY LINE RD, JACKSON, NJ 08527-2267
(732) 942-4455
(732) 942-4459
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD02241
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212830001
MEDICARE NSC
NJ
05
—
7260601
—
NJ
Enumeration date
06/27/2005
Last updated
09/16/2014
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