Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 74651 | MA |
NPI | 1306801394 |
---|---|
Provider Name | Dr. Deborah Rothman |
First Address | Springfield, MA 01104-2330 |
Second Address | Springfield, MA 01104-2330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 24/08/2015 |