Individual
GERALD W ROTHACKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494
Mailing address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494
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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