Individual
CARLY BERNSTEIN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HIGH ST FL 5, BOSTON, MA 02110-3036
(617) 221-6909
(617) 507-5639
Mailing address
200 HIGH ST FL 5, BOSTON, MA 02110-3036
(617) 221-6909
(617) 507-5639
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA6704
MA
208600000X
Surgery Physician
Primary
PA6704
MA
Other
Enumeration date
08/14/2018
Last updated
04/22/2026
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