Rosenthal, Susan

Rosenthal, Susan is an sole proprietor health care provider with primary practice located at 20 Chapel St Apt C612 , Brookline MA 02446-7403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Rosenthal, Susan can be contacted via phone (732) 672-0224.

Contact Information

Primary practice address
20 Chapel St Apt C612 Brookline MA 02446-7403
Phone: (732) 672-0224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04598100 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MA45981 New Jersey

Profile Details

NPI number 1740365634
LBN Legal business name Rosenthal, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Nov 13th, 2023 - about 2 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 1740365634 NPPES
New Jersey MEDICAID 0513105

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