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Individual

JASON S ROTHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Mailing address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
155168
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110038800A
MA
05
2076748
MA
Enumeration date
05/22/2006
Last updated
12/17/2015
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