Rosen, Bruce Robert

Rosen, Bruce Robert is an individual health care provider with primary practice located at 149 13Th St 149 2301 Mgh Imaging Center, Charlestown MA 02129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rosen, Bruce Robert can be contacted via phone (617) 726-5122.

Contact Information

Primary practice address
149 13Th St 149 2301 Mgh Imaging Center Charlestown MA 02129
Phone: (617) 726-5122
Fax: (617) 726-7422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 57775 Massachusetts

Profile Details

NPI number 1720052947
LBN Legal business name Rosen, Bruce Robert
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720052947 NPPES
Massachusetts MEDICAID 3020126
Massachusetts Other 057775
Massachusetts Other J06262

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