Dr. Edwin Rothman , DO
General Practice • Philadelphia, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Rothman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edwin Rothman, DO was a registered General Practice practicing in Philadelphia, PA. Throughout an active medical career spanning 15 years, Dr. Rothman provided care at the practice location at 4209 RIDGE AVE until profile deactivation on 2023-11-11.
Practice Location & Contact Primary Location
4209 Ridge Ave
Philadelphia, PA 191291745
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Philadelphia, PA
Practicing in Philadelphia, PA (434 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 11, 2023
NPI status registered as active in NPPES database
Registered at 4209 RIDGE AVE, PHILADELPHIA, PA 191291745 (Tel: 2158434333)
Registered at 4209 RIDGE AVE, P.O. BOX 18558, PHILADELPHIA, PA 191291745 (Tel: 2158434333)
Recorded as EDWIN ROTHMAN, D.O.
General Practice (License #OS002007L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4209 Ridge Ave, P.o. Box 18558
Philadelphia, PA 191291745
Phone: 2158434333
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