Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0420008620 | VT |
N | 207Q00000X | Family Doctor | 192155-1 | NY |
N | 207Q00000X | Family Doctor | 216297 | MA |
N | 207QA0401X | Family Doctor - Addiction Medicine | 042-000-8620 | VT |
NPI | 1316939754 |
---|---|
Provider Name | Dr. Barbara Lillian Rosenthal |
First Address | Williamstown, MA 01267-2972 |
Second Address | Johnson, VT 05656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 23/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0VN0505 | (05) | VT |
2078252 | (05) | MA |
B56148 | (02) |