Individual
JASON ROBERT ROTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 FRASIER ST, DURHAM, NC 27704-2125
(919) 477-7003
(919) 471-2827
Mailing address
205 FRASIER ST, DURHAM, NC 27704-2125
(919) 477-7003
(919) 471-2827
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2009-00596
NC
208800000X
Urology Physician
MD427102
PA
Other
Enumeration date
03/04/2009
Last updated
06/06/2012
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