Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 275811 | NY |
Y | 2086S0120X | Pediatric Surgery | MD61090045 | WA |
NPI | 1508065046 |
---|---|
Provider Name | Dr. David H Rothstein |
First Address | Seattle, WA 98145-5005 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2007 |
Last Update Date | 24/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1508065046 | (05) | WA |