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NPI Code Detail

MEDICARE: IRIS ROSENSTEIN P.A.

MEDICARE: IRIS ROSENSTEIN P.A.
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
1363AM0700XMedical Physician AssistantPA4065MA

General Provider Information

NPI Number : 1538479605
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRIS ROSENSTEIN P.A.
Provider Business Mailing Address
First Line : 362 N BEDFORD ST
Second Line :
City : EAST BRIDGEWATER
State : MA
Zip : 02333-1148
Country : US
Telephone Number : 781-884-6300
Fax Number : 781-884-6305
Provider Business Practice Location Address
First Line : 10 FORBES RD STE 190
Second Line :
City : BRAINTREE
State : MA
Zip : 02184-2622
Country : US
Telephone Number : 781-884-6300
Fax Number : 781-884-6305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 03/17/2018

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Directions to “ IRIS ROSENSTEIN P.A.” Practice Location

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