Individual
MORTON BRUCE ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
25 CHANNEL CENTER STREET, #802, BOSTON, MA 02210
(617) 512-7941
Mailing address
25 CHANNEL CENTER STREET, #802, BOSTON, MA 02210
(617) 512-7941
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13194
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249068
—
MA
Enumeration date
08/31/2006
Last updated
07/21/2022
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