Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29295 | MA |
N | 2084N0400X | Neurologist | 29295 | MA |
Y | 2084N0402X | Child Neurologist | 29295 | MA |
NPI | 1356339444 |
---|---|
Provider Name | N Paul Rosman |
First Address | Boston, MA 02118-2371 |
Second Address | Boston, MA 02118-2526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 29/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110006117A | (05) | MA |