Provider Demographics
NPI:1346349339
Name:ROTHMAN, MURRAY H (MD)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:H
Last Name:ROTHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WEST PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070
Mailing Address - Country:US
Mailing Address - Phone:201-460-8630
Mailing Address - Fax:201-460-9003
Practice Address - Street 1:17 WEST PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070
Practice Address - Country:US
Practice Address - Phone:201-460-8630
Practice Address - Fax:201-460-9003
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38313207W00000X
NJ25MA03831300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
447234OtherPTAN