Organization
ROSEANN BERWALD, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSEANN BERWALD MD (PHYSICIAN)
(508) 580-1508
Entity
Organization
Contact information
Practice address
370 OAK ST, BROCKTON, MA 02301-1303
(508) 580-1508
Mailing address
370 OAK ST, BROCKTON, MA 02301-1303
(508) 580-1508
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
70519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M19204
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
06/14/2007
Last updated
08/22/2020
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