Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1037 | MD |
Y | 222Z00000X | Podiatrist | 1037 | MD |
NPI | 1023010949 |
---|---|
Provider Name | Dr. Alan M Rothfeld |
First Address | Hyattsville, MD 20782-3669 |
Second Address | Hyattsville, MD 20782-3669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 15/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T91629 | (02) | MD |