Individual
MITCHELL H. ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 HOSPITAL AVE STE 206, DU BOIS, PA 15801
(814) 299-7432
(814) 299-7434
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD046591L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD046591L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396577
—
PA
Enumeration date
12/09/2005
Last updated
04/15/2019
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