Individual
DR. LAWRENCE ELLIOT ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 CHASE ST, NEWTON CENTRE, MA 02459-2214
(617) 527-2130
Mailing address
18 CHASE ST, NEWTON CENTRE, MA 02459-2214
(617) 527-2130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33957
MA
2084P0804X
Child & Adolescent Psychiatry Physician
33957
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33957
MA LICENSE NUMBER
MA
01
—
MO8551
BLUE SHIELD NUMBER
MA
Enumeration date
01/15/2007
Last updated
03/07/2023
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