Provider Demographics
NPI:1124173331
Name:MURRAY H. ROTHMAN, MD.,P.A.
Entity type:Organization
Organization Name:MURRAY H. ROTHMAN, MD.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROTHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-460-8630
Mailing Address - Street 1:17 W PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1962
Mailing Address - Country:US
Mailing Address - Phone:201-460-8630
Mailing Address - Fax:201-460-9003
Practice Address - Street 1:17 W PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1962
Practice Address - Country:US
Practice Address - Phone:201-460-8630
Practice Address - Fax:201-460-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03831300207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty