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Individual

DR. JAY SEAN ROTHBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
540 WOODBOURNE RD, LANGHORNE, PA 19047-1835
(215) 750-7771
(215) 750-6935
Mailing address
1203 LANGHORNE NEWTOWN RD, #225, ST CLARE BLDG, LANGHORNE, PA 19047-1209
(215) 750-7771
(215) 750-6935

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD051142L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016328800003
PA
01
0230832000
KEYSTONE HEALTH PLAN EAST
PA
01
1054837
KEYSTONE/MERCY
PA
01
463810
AETNA
PA
01
632826
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
07/10/2006
Last updated
04/26/2021
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