Healthcare Provider Details

I. General information

NPI: 1679078729
Provider Name (Legal Business Name): CLAIRE BARTHLOW ROSEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

55 FRUIT ST
BOSTON MA
02114-2696
US

V. Phone/Fax

Practice location:
  • Phone: 443-867-7328
  • Fax:
Mailing address:
  • Phone: 617-643-4459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1022472
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: