Organization
ROSE ANN BERWALD, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ANN BERWALD MD (PHYSICIAN)
(781) 344-7673
Entity
Organization
Contact information
Practice address
966 PARK ST STE B2, STOUGHTON, MA 02072-3650
(781) 344-7673
(781) 344-5955
Mailing address
966 PARK ST STE B2, STOUGHTON, MA 02072-3650
(781) 344-7673
(781) 344-5955
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
70519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070519
TUFTS
MA
05
—
110047284/A
—
MA
01
—
13564
HARVARD PILGRIM HEALTHCARE
MA
01
—
3065320
NEIGHBORHOOD HEALTH PLAN
MA
01
—
32136
AETNA/US HEALTCARE
MA
01
—
B21216
CIGNA
MA
01
—
J08817
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/04/2012
Last updated
10/04/2012
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