Individual
LAWRENCE S ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF CARDIOVASCULAR MEDICINE, WORCESTER, MA 01655-0002
(508) 856-2931
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
74846
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
74846
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110058580A
—
MA
05
—
3167224
—
MA
Enumeration date
12/05/2005
Last updated
11/14/2020
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