Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD012782E | PA |
Y | 111NI0900X | Internist | MD012782E | PA |
N | 207RN0300X | Nephrologist | MD012782E | PA |
NPI | 1003903667 |
---|---|
Provider Name | Dr. John A Rothschild |
First Address | Harveys Lake, PA 18618-3231 |
Second Address | Harveys Lake, PA 18618-3231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 24/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000711933 | (05) | PA |
B39010 | (02) |