Individual
DR. CARLY JENNIFER ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2042
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2042
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
25MB11914800
NJ
Other
Enumeration date
05/16/2017
Last updated
08/29/2023
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