Individual
DR. JONATHAN D. ROTHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MAIN ST STE 116, MEDFORD, MA 02155-4530
(781) 396-2000
(781) 395-0759
Mailing address
101 MAIN ST STE 116, MEDFORD, MA 02155-4530
(781) 396-2000
(781) 395-0759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207435
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035979
—
MA
Enumeration date
01/11/2006
Last updated
02/19/2021
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