Healthcare Provider Details

I. General information

NPI: 1629069273
Provider Name (Legal Business Name): ROSALIND BROWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: DR. ROSALIND SAGINUR

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

12 FARM HILL RD
NATICK MA
01760-5553
US

V. Phone/Fax

Practice location:
  • Phone: 617-919-2866
  • Fax: 617-730-0244
Mailing address:
  • Phone: 508-653-0360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number43421
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: