Organization
RUSSELL ROTHENBERG MD, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL ROTHENBERG M.D. (PRESIDENT)
(301) 571-2273
Entity
Organization
Contact information
Practice address
10215 FERNWOOD RD, 401, BETHESDA, MD 20817-1106
(301) 571-2273
(301) 571-0894
Mailing address
10215 FERNWOOD RD, 401, BETHESDA, MD 20817-1106
(301) 571-2273
(301) 571-0894
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D0027918
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932285020
NPI TYPE 1
DC
Enumeration date
01/07/2007
Last updated
11/20/2007
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