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Individual

DR. SETH IAN ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CRANBERRY HL STE 105, LEXINGTON, MA 02421-7397
(800) 325-7284
(205) 579-9387
Mailing address
1 CRANBERRY HL STE 105, LEXINGTON, MA 02421-7397
(800) 325-7284
(205) 579-9387

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
83381
GA
207ZD0900X
Dermatopathology (Pathology) Physician
ME88066
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
234394
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71887
BLUECROSS BLUESHIELD
FL
Enumeration date
01/31/2007
Last updated
04/17/2024
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