Individual
DR. RICHARD A ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
631A VFW PKWY, CHESTNUT HILL, MA 02467-3656
(617) 327-3500
(617) 325-3887
Mailing address
631A VFW PKWY, CHESTNUT HILL, MA 02467-3656
(617) 327-3500
(617) 325-3887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15557
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15557
STATE PRACTICE LICENSE #
MA
Enumeration date
01/08/2007
Last updated
07/08/2007
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