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Individual

JEFFREY ROTTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(615) 887-5527
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(615) 887-5527

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D80299
MD
207RC0000X
Cardiovascular Disease Physician
MD28866
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S062-0594
CAREFIRST BC/BS
MD
Enumeration date
09/22/2006
Last updated
01/29/2016
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