MEDICARE: DENNIS ROSEN

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	2080P0214X	Pediatric Pulmonology Physician	209474	MA

General Provider Information

NPI Number	:	1437183316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS ROSEN

Provider Business Mailing Address
First Line	:	300 LONGWOOD AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-5724
Country	:	US
Telephone Number	:	617-355-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 LONGWOOD AVE
Second Line	:	CHILDREN'S HOSPITAL BOSTON, MAILSTOP 208
City	:	BOSTON
State	:	MA
Zip	:	02115-5724
Country	:	US
Telephone Number	:	617-355-1900
Fax Number	:	617-730-0084

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	08/29/2019

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Directions to “ DENNIS ROSEN ” Practice Location

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