Individual
MAX JACOB ROLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6680
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1022889
MA
2084P0800X
Psychiatry Physician
75371
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1022889
MA
2084P0804X
Child & Adolescent Psychiatry Physician
75371
CT
Other
Enumeration date
03/25/2021
Last updated
05/14/2026
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