Provider Demographics
NPI:1568892263
Name:STEVEN J. ROTTMAN, MD LLC
Entity Type:Organization
Organization Name:STEVEN J. ROTTMAN, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-321-6868
Mailing Address - Street 1:25 RAISIN TREE CIR
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6365
Mailing Address - Country:US
Mailing Address - Phone:410-321-6868
Mailing Address - Fax:410-486-7547
Practice Address - Street 1:6535 N CHARLES ST
Practice Address - Street 2:SUITE 510
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5826
Practice Address - Country:US
Practice Address - Phone:410-321-6868
Practice Address - Fax:410-486-7547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty