Individual
DR. ELISSA B ROTTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 CENTRE ST, SUITE 203, NEWTON CENTRE, MA 02459-2454
(617) 244-9929
(617) 244-9935
Mailing address
1400 CENTRE ST, SUITE 203, NEWTON CENTRE, MA 02459-2454
(617) 244-9929
(617) 244-9935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
215848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008491
—
MA
Enumeration date
03/16/2006
Last updated
12/05/2008
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