Individual
DR. SARA ROSHANNA ROTHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2345 CHESTERFIELD AVE, SUITE 301, CHARLESTON, WV 25304-1062
(304) 344-2900
(304) 344-9385
Mailing address
2345 CHESTERFIELD AVE, SUITE 301, CHARLESTON, WV 25304-1062
(304) 344-2900
(304) 344-9385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14112
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001721506
—
WV
01
—
550722686
PRACTICE TAX ID#
WV
Enumeration date
10/05/2006
Last updated
01/23/2012
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