Provider Demographics
NPI:1366609588
Name:ROTTMAN, STEVEN JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOEL
Last Name:ROTTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2013-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0069913208200000X
DCMD038382208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery