Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 282541 | MA |
Y | 111NI0900X | Internist | 282541 | MA |
N | 207RA0401X | Internist - Addiction Medicine | 282541 | MA |
NPI | 1811426620 |
---|---|
Provider Name | Dr. Hallie Rozansky |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2017 |
Last Update Date | 03/08/2021 |