Individual
DR. MARK WILLIAM ROTHSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6507 EDENVALE RD, BALTIMORE, MD 21209-3303
(410) 982-6670
Mailing address
6507 EDENVALE RD, BALTIMORE, MD 21209-3303
(410) 982-6670
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
01451
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423468
—
AZ
01
—
AZ0194730
BCBS
AZ
Enumeration date
08/30/2006
Last updated
06/01/2015
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