Individual
DR. JERROLD FRANK ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, BULFINCH 351, BOSTON, MA 02114-3117
(617) 726-3482
(617) 726-2688
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-3482
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37833
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037833
TUFTS HEALTH PLAN
MA
Enumeration date
11/23/2005
Last updated
11/07/2012
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