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Individual

MICHAEL EDWARD ROTHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1325 WARREN AVE, STE 6, SPRING LAKE, NJ 07762-2567
(732) 268-7663
(732) 268-7664
Mailing address
1325 WARREN AVE, SPRING LAKE, NJ 07762-2566
(732) 268-7663
(732) 268-7664

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA050248
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00223041
RAILROAD MEDICARE
01
J37850
HEALTHNET
Enumeration date
11/24/2006
Last updated
05/26/2016
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