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Individual
MAX JACOB ROLISON
Active
Individual
MAX JACOB ROLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1022889
MA
2084P0800X
Psychiatry Physician
75371
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1022889
MA
2084P0804X
Child & Adolescent Psychiatry Physician
75371
CT
Other
Enumeration date
03/25/2021
Last updated
05/14/2026
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