Healthcare Provider Details

I. General information

NPI: 1871903377
Provider Name (Legal Business Name): GUY ROZEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 WASHINGTON ST
BOSTON MA
02111-1521
US

IV. Provider business mailing address

800 WASHINGTON ST
BOSTON MA
02111-1552
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-5902
  • Fax: 617-636-7830
Mailing address:
  • Phone: 617-636-5902
  • Fax: 617-636-7830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number291880
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberL-259311
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number291880
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: