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Individual

EMILY ROTHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4710 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-2155
(505) 780-4040
(505) 888-9644
Mailing address
PO BOX 3338, TOHAJIILEE, NM 87026-3338
(505) 908-2307
(505) 908-2310

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-1176-01
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004A55
BCBS
NM
01
004A81
BCBS FOR 850164038
NM
05
85725064
NM
Enumeration date
09/27/2006
Last updated
11/07/2019
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