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Individual

DR. HERMINIA DIANA ROSAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15 PARKMAN STREET WAC 835, NEUROLOGY ASSOCIATES, BOSTON, MA 02114-3117
(617) 726-1728
(617) 724-1480
Mailing address
149 13TH ST RM 2275, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-2020
(617) 726-0658
(617) 724-1227

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
151574
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3165299
MA
01
730034
TUFTS HEALTH PLAN
MA
01
J17730
BCBS MA
MA
Enumeration date
10/04/2006
Last updated
09/21/2007
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