Individual
DR. JEANNETTE M PEREZ-ROSSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6286
Mailing address
14 THACKERAY RD, WELLESLEY, MA 02481-3409
(781) 772-1778
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
204494
MA
2085R0202X
Diagnostic Radiology Physician
204494
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167550
—
MA
Enumeration date
10/31/2006
Last updated
09/11/2025
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