Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 32048 | MA |
N | 2080A0000X | Adolescent Medicine | 32048 | MA |
NPI | 1043215833 |
---|---|
Provider Name | Carl F. Rosenbloom |
First Address | Haverhill, MA 01830-6278 |
Second Address | Haverhill, MA 01830-6278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 21/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016287 | NEIGHBORHOOD HEALTH PLAN (01) | |
1043215833 | AETNA HMO (01) | MA |
1043215833 | FALLON COMMUNITY HEALTH PLAN (01) | MA |
110034897A | (05) | MA |
200224 | HARVARD PILGRIM HEALTHCAR (01) | MA |
4052726 | AETNA NON HMO (01) | MA |
6666914 | CIGNA (01) | |
678819 | HEALTHSOURCE (01) | |
706897 | TUFTS HEALTH PLAN (01) | MA |
979676 | NETWORK HEALTH (01) | |
99903687 | NEW HAMPSHIRE MEDICAID (01) | NH |
D11098 | BLUE CROSS BLUE SHIELD (01) | MA |
D22815 | ANTHEM BLUE CROSS (01) | NH |