Rottenberg, Elissa B
Rottenberg, Elissa B is an individual health care provider with primary practice located at 1400 Centre St Suite 203, Newton Centre MA 02459-2454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rottenberg, Elissa B can be contacted via phone (617) 244-9929.Contact Information
Primary practice address
1400 Centre St Suite 203
Newton Centre MA 02459-2454
Phone: (617) 244-9929
Fax: (617) 244-9935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 215848 | Massachusetts |
Profile Details
| NPI number | 1356310981 |
|---|---|
| LBN Legal business name | Rottenberg, Elissa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Dec 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356310981 | NPPES |
| Massachusetts | MEDICAID | 2008491 |
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