Individual
MICHAEL IAN ROTHMAN
Active
Individual
MICHAEL IAN ROTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D0036911
MD
2085R0202X
Diagnostic Radiology Physician
036078872
IL
2085R0202X
Diagnostic Radiology Physician
Primary
MD039205E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017172610016
—
PA
01
—
021449XRE
PENNSYLVANIA MEDICARE
—
05
—
02906701
—
NY
01
—
043597
LICENSE
CT
05
—
1012411910001
—
PA
01
—
239105-1
LICENSE
NY
01
—
25MA08035800
LICENSE
NJ
01
—
881901
HIGHMARK
PA
05
—
8962103
—
NJ
01
—
C1-0007404
LICENSE
DE
01
—
D003691
LICENSE
MD
01
—
MD039205E
LICENSE
PA
Enumeration date
07/11/2005
Last updated
03/07/2023
Update your record
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