Individual
MIRIAM R ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
206 GLEZEN LANE, WAYLAND, MA 01778
(508) 358-7512
Mailing address
206 GLEZEN LANE, WAYLAND, MA 01778
(508) 358-7512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36743
MA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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