| Doctor Name: | FREDERICK J ROTHBERG |
| NPI Number: | 1033115738 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | MD02241 |
| Business Practice Address: | 9 Mule Rd Toms River, NJ - 087555043 |
| Business Phone Number: | 7327971535 |
| Business Fax Number: | 7327971595 |
| Mailing Address: | 2290 W County Line Rd, JACKSON |
| State: | NJ |
| Postal Code: | 085272267 |
| Phone Number: | 7329424455 |
| Fax Number: | 7329424459 |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | MD02241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |