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Organization

LONGWOOD ACADEMIC PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STUART A. ROSENBERG M.D. (PRESIDENT)
(617) 632-8788
Entity
Organization

Contact information

Practice address
330 MOUNT AUBURN ST, SUITE 416, CAMBRIDGE, MA 02138-5502
(617) 632-8788
(617) 632-9150
Mailing address
PO BOX 417919, BOSTON, MA 02241-7919
(617) 632-8788
(617) 632-9150

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
08/06/2014
Last updated
08/06/2014
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