Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 25MA04977200 | NJ |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD040718L | PA |
NPI | 1073627204 |
---|---|
Provider Name | Dr. Richard Rothchild |
First Address | Philadelphia, PA 19107-3377 |
Second Address | Plainsboro, NJ 08536-1913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 11/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100903971 | (05) | PA |