Individual
DR. MARK DAVID ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3604 BUSH ST, 2ND FLOOR, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Mailing address
3604 BUSH ST, 2ND FLOOR, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6973447
—
NC
01
—
73447
BCBS PROVIDER NUMBER
NY
Enumeration date
01/10/2006
Last updated
03/24/2011
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