Individual
DR. DAVID ROTH LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-9900
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59979
MA
207RG0100X
Gastroenterology Physician
59979
MA
207RG0100X
Gastroenterology Physician
Primary
MD489596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110052964A
—
MA
05
—
3111608
—
NH
Enumeration date
12/23/2005
Last updated
01/26/2026
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