Individual
DR. JOAN O ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18181 PEARL RD, STRONGSVILLE, OH 44136-6949
(440) 816-6414
(440) 816-6421
Mailing address
18181 PEARL RD, STRONGSVILLE, OH 44136-6949
(440) 816-6414
(440) 816-6421
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
35043347R
OH
207P00000X
Emergency Medicine Physician
Primary
35-043347
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450006
—
OH
01
—
P00949838
MEDICARE RAILROAD
OH
Enumeration date
06/06/2006
Last updated
03/05/2012
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