Individual
JAN M ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 W. 12TH ST, THE REGIONAL CANCER CTR, ERIE, PA 16505
(814) 838-9000
(814) 838-0443
Mailing address
2500 W 12TH ST, THE REGIONAL CANCER CENTER, ERIE, PA 16505-4508
(814) 838-9000
(814) 838-0462
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD054402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015075870001
—
PA
05
—
0127400
—
OH
01
—
0159
PA BLUE CROSS
—
01
—
140052
PA MCR GR#
—
01
—
670635
HIGHMARK
PA
Enumeration date
06/30/2005
Last updated
03/31/2010
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