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NPI Code Detail

MEDICARE: DR. MARC A ROSENTHAL M.D.

MEDICARE: DR. MARC A ROSENTHAL 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
1208000000XPediatrics Physician209935MA
22080P0006XDevelopmental - Behavioral Pediatrics Physician209935MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HV0049OTHERMAHARVARD PILGRIM HEALTH
2J23714OTHERMABLUE CROSS
30023639OTHERMANEIGHBORHOOD HEALTH
43547350OTHERMAAETNA
5B501026OTHERMACIGNA
612-04575OTHERMAUNITED HEALTHCARE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8209935OTHERMATUFTS

General Provider Information

NPI Number : 1346225083
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC A ROSENTHAL M.D.
Provider Business Mailing Address
First Line : 20 WALL ST
Second Line :
City : BURLINGTON
State : MA
Zip : 01803-4758
Country : US
Telephone Number : 781-221-2800
Fax Number : 781-221-2680
Provider Business Practice Location Address
First Line : 20 WALL ST
Second Line :
City : BURLINGTON
State : MA
Zip : 01803-4758
Country : US
Telephone Number : 781-221-2800
Fax Number : 781-221-2680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 03/07/2021

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