Individual
GERALD W ROTHACKER JR.
Active
Individual
GERALD W ROTHACKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD024926E
PA
207XX0801X
Orthopaedic Trauma Physician
MD024926E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015165860005
—
PA
01
—
01539101
CAPITAL BLUE CROSS
PA
01
—
098380
BLUE SHIELD
PA
01
—
113780
HEALTHAMERICA/HEALTHASSUR
PA
01
—
20008545
RAILROAD MEDICARE
PA
01
—
32249E
AMERIHEALTH MERCY
PA
01
—
517828
AETNA
PA
Enumeration date
03/17/2006
Last updated
11/26/2010
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