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Individual

DR. JOSEPH DAVID ROTELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY 40205-3224
(502) 719-4142
(502) 456-6655
Mailing address
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY 40205-3224
(502) 719-4142
(502) 456-6655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01060120A
IN
207R00000X
Internal Medicine Physician
Primary
34987
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200421560
IN
05
6401223000
KY
Enumeration date
09/16/2006
Last updated
07/08/2014
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