Individual
ELDAD ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 LONG POND DRIVE, FONTAINE MEDICAL CENTER, HARWICH, MA 02645-1227
(508) 432-4100
(508) 432-8951
Mailing address
25 COMMUNICATIONS WAY, MACC-REVENUE CYCLE, HYANNIS, MA 02601-1866
(508) 957-8664
(508) 957-8677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56303
MA
208000000X
Pediatrics Physician
56303
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019292
—
MA
Enumeration date
08/03/2006
Last updated
07/29/2010
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