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Individual

LUBA P ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
637 WASHINGTON ST, #102, BROOKLINE, MA 02446-4500
(617) 734-6135
Mailing address
118 PINE GROVE ST, NEEDHAM, MA 02494-1766
(617) 734-6135

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
151234
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3181146
MA
Enumeration date
05/28/2006
Last updated
12/07/2009
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