MEDICARE: STEVEN R ROZAK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	53877	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154302065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN R ROZAK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 415348
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-5348
Country	:	US
Telephone Number	:	800-225-8885
Fax Number	:	508-334-1977

Provider Business Practice Location Address
First Line	:	489 WASHINGTON ST
Second Line	:
City	:	AUBURN
State	:	MA
Zip	:	01501-5709
Country	:	US
Telephone Number	:	508-832-9646
Fax Number	:	508-832-7862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	12/20/2021

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Directions to “ STEVEN R ROZAK M.D.” Practice Location

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