Dr. Holly Rothermel
Pediatrician Pediatric Rheumatologist
55 Fruit St Yaw 6, Pediatric Group Practice
Boston
, Massachusetts 02114-2621
Dr. Holly Rothermel
Pediatrician Pediatric Rheumatologist
55 Fruit St Yaw 6, Pediatric Group Practice
Boston
, Massachusetts 02114-2621
(617) 724-3948
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About
Features
Specialties
- Pediatrician
- Pediatric Rheumatologist
Languages spoken
- English
Location
First Address
- Dr. Holly Rothermel
- Po Box 9142
- Charlestown, MA
- Zip : 02129-9142
- Fax : (617) 724-3948
- Phone : (617) 726-2728
Second Address
- Dr. Holly Rothermel
- 55 Fruit St Yaw 6, Pediatric Group Practice
- Boston, MA
- Zip : 02114-2621
- Fax : (617) 726-3948
- Phone : (617) 726-2728
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FAQs
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Is Dr. Holly Rothermel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 150450 | MA |
| Y | 2080P0216X | Pediatric Rheumatologist | 150450 | MA |
National Provider Identifier
| NPI | 1215913926 |
|---|---|
| Provider Name | Dr. Holly Rothermel |
| First Address | Charlestown, MA 02129-9142 |
| Second Address | Boston, MA 02114-2621 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2005 |
| Last Update Date | 29/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 150450 | TUFTS HEALTH PLAN (01) | MA |
| 3152341 | (05) | MA |
| G26392 | (02) | |
| J16594 | BCBS MA (01) | 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.