Individual
KENNETH ROSENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST # 800, MAILSTOP 843, BOSTON, MA 02114-2621
(617) 724-1935
(617) 726-3971
Mailing address
55 FRUIT ST, GRB 800, BOSTON, MA 02114-2621
(617) 724-1935
(617) 726-3971
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
79142
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047610
—
MA
01
—
713099
TUFTS HEALTH PLAN
MA
01
—
J08828
BCBS MA
MA
Enumeration date
07/05/2007
Last updated
08/26/2009
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