Individual
STEPHEN HARRIS ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 UNION ST, #403, NATICK, MA 01760
(508) 653-5047
(508) 653-5045
Mailing address
34 ROSCOE ST, NEEDHAM, MA 02494
(508) 653-5047
(508) 653-6045
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52615
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026361
—
MA
Enumeration date
01/31/2006
Last updated
08/14/2013
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