| Doctor Name: | DR. JASON ERIC ROTHSCHILD |
| NPI Number: | 1144583683 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 252409 |
| Business Practice Address: | 680 Centre St Brockton, MA - 023023308 |
| Business Phone Number: | 5089417000 |
| Business Fax Number: | |
| Mailing Address: | 100 Grand View Ave, Apartment 4b QUINCY |
| State: | MA |
| Postal Code: | 021704057 |
| Phone Number: | 2013148596 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2012 |
| NPI Last Update Date: | 06/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 252409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |