Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | OS018248 | PA |
Y | 213ES0000X | Sports Medicine | OS018248 | PA |
N | 2081S0010X | Sports Medicine | OS13636 | FL |
N | 213ES0000X | Sports Medicine | OS13636 | FL |
NPI | 1346515020 |
---|---|
Provider Name | Dr. Joshua Rothenberg |
First Address | Boca Raton, FL 33431 |
Second Address | Deerfield Beach, FL 33442-9423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2012 |
Last Update Date | 17/03/2018 |