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Organization
ROSENGARD CLINIC
Active
Organization
ROSENGARD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E ROSENGARD M.D. (PRESIDENT)
(617) 268-1500
Entity
Organization
Contact information
Practice address
380 W BROADWAY, SOUTH BOSTON, MA 02127-2215
(617) 268-1500
(617) 269-8558
Mailing address
PO BOX 61137, LONGMEADOW, MA 01116-6137
(413) 214-7435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9740325
—
MA
Enumeration date
02/05/2007
Last updated
08/22/2020
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