Individual
GAYLE ROTMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
(267) 425-9800
Mailing address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
(267) 425-9800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.068911
IL
208000000X
Pediatrics Physician
Primary
MD467169
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245692060
—
IL
Enumeration date
03/22/2016
Last updated
10/01/2021
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