Individual
ELIZABETH L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
759 CHESTNUT STREET, SPRINGFIELD, MA 01107-1619
(413) 794-5307
(413) 794-8430
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
234585
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079237/A
—
MA
Enumeration date
01/14/2008
Last updated
04/07/2023
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