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NPI Code Detail

MEDICARE: EMILIJA ROSENTHAL NP

MEDICARE: EMILIJA ROSENTHAL NP
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
1363LF0000XFamily Nurse PractitionerAP135872TX

General Provider Information

NPI Number : 1710485479
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIJA ROSENTHAL NP
Provider Business Mailing Address
First Line : 109 STATE ST.
Second Line : 5TH FL
City : BOSTON
State : MA
Zip : 02109-2906
Country : US
Telephone Number : 617-505-1520
Fax Number : 617-928-8401
Provider Business Practice Location Address
First Line : 325 N SAINT PAUL ST STE 3100
Second Line :
City : DALLAS
State : TX
Zip : 75201-3923
Country : US
Telephone Number : 617-505-1520
Fax Number : 617-928-8401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2018
Last Update Date : 03/20/2026

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Directions to “ EMILIJA ROSENTHAL NP” Practice Location

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