Individual
CHARLES M ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 CASS AVE, HOSPITAL BASED LANDMARK MEDICAL CENTER, WOONSOCKET, RI 02895
(401) 769-4100
(401) 767-1631
Mailing address
65 SOCKANOSSET CROSS RD, SUITE 105, CRANSTON, RI 02920-5536
(401) 354-4900
(401) 354-8535
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD7123
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007123
TUFTS
—
01
—
245930
PILGRIM
—
01
—
31237
NEIGHBORHOOD HEALTH RI GR
—
01
—
3142370
MASS WELFARE
—
01
—
3412
GROUP RI BLUESHIELD
—
01
—
400750
BLUECHIP RI
—
05
—
7000915
—
RI
Enumeration date
08/28/2006
Last updated
12/06/2016
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