Provider Demographics
NPI:1912383175
Name:ROTHENBERG, WILLIAM ANDREW (MA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:ROTHENBERG
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 BAITY HILL DR
Mailing Address - Street 2:APARTMENT 224
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3963
Mailing Address - Country:US
Mailing Address - Phone:919-601-7680
Mailing Address - Fax:
Practice Address - Street 1:2000 BAITY HILL DR
Practice Address - Street 2:APARTMENT 224
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-3963
Practice Address - Country:US
Practice Address - Phone:919-601-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program