Alona Rotkovitch
Nurse Practitioner Nurse Practitioner - Adult Health
111 Grossman Dr
Braintree
, Massachusetts 02184-4997
Alona Rotkovitch
Nurse Practitioner Nurse Practitioner - Adult Health
111 Grossman Dr
Braintree
, Massachusetts 02184-4997
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Alona Rotkovitch
- 147 Milk St Provider Enrollment - 9th Floor
- Boston, MA
- Zip : 02109-4806
- Phone :
Second Address
- Alona Rotkovitch
- 111 Grossman Dr
- Braintree, MA
- Zip : 02184-4997
- Phone : (781) 849-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 130542 | MA |
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 130542 | MA |
National Provider Identifier
| NPI | 1023079258 |
|---|---|
| Provider Name | Alona Rotkovitch |
| First Address | Boston, MA 02109-4806 |
| Second Address | Braintree, MA 02184-4997 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2006 |
| Last Update Date | 20/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0359840 | (05) | MA |
| N365 | HARVARD PILGRIM (01) | MA |
| NP1801 | BLUE CROSS (01) | MA |
| S80763 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.