Individual
MAX ROSENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MASSACHUSETTS AVE SUITE 6A, CROSSTOWN BLDG., BOSTON, MA 02118-2605
(720) 635-5443
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1017310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110178754A.
—
MA
Enumeration date
03/20/2021
Last updated
05/10/2024
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