Individual
MR. ROY WILLIAM ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
104 PLUMTREE RD, SUITE 102, BEL AIR, MD 21015-6095
(410) 569-4224
(410) 569-4368
Mailing address
104 PLUMTREE RD, SUITE 102, BEL AIR, MD 21015-6095
(410) 569-4224
(410) 569-4368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001135
MD
Other
Enumeration date
09/20/2005
Last updated
12/05/2011
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