Individual
ALONA ROTKOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-1000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
130542
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
130542
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359840
—
MA
01
—
N365
HARVARD PILGRIM
MA
01
—
NP1801
BLUE CROSS
MA
Enumeration date
03/29/2006
Last updated
06/20/2019
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