Provider Demographics
NPI:1437251956
Name:ROTHMAN, ANNE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ELIZABETH
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18310 MONTGOMERY VILLAGE AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3560
Mailing Address - Country:US
Mailing Address - Phone:301-977-2070
Mailing Address - Fax:301-330-9452
Practice Address - Street 1:18310 MONTGOMERY VILLAGE AVE STE 700
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3560
Practice Address - Country:US
Practice Address - Phone:301-977-2070
Practice Address - Fax:301-330-9452
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064090207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDI52237Medicare UPIN
MD019402R98Medicare ID - Type Unspecified