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NPI Code Detail

MEDICARE: DR. JOHN B ROSEMAN MD

MEDICARE: DR. JOHN B ROSEMAN MD
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
12084P0800XPsychiatry Physician225172MA

General Provider Information

NPI Number : 1104808468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN B ROSEMAN MD
Provider Business Mailing Address
First Line : 115 MILL ST
Second Line : MAIL STOP 132
City : BELMONT
State : MA
Zip : 02478-1064
Country : US
Telephone Number : 617-855-3014
Fax Number : 617-855-3810
Provider Business Practice Location Address
First Line : 115 MILL ST
Second Line :
City : BELMONT
State : MA
Zip : 02478-1064
Country : US
Telephone Number : 617-855-3014
Fax Number : 617-855-3810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 04/15/2014

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