Provider Demographics
NPI:1841287257
Name:ROTHFELD, DAVID J (MD,)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:ROTHFELD
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9357 SEAHORSE BAY DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-7105
Mailing Address - Country:US
Mailing Address - Phone:240-388-5114
Mailing Address - Fax:888-948-4276
Practice Address - Street 1:9357 SEAHORSE BAY DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-7105
Practice Address - Country:US
Practice Address - Phone:240-388-5114
Practice Address - Fax:888-948-4276
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD364402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD210311700Medicaid
MD008742S37Medicare ID - Type Unspecified
MDC87991Medicare UPIN