Berwald, Rose Ann

Berwald, Rose Ann is an sole proprietor health care provider with primary practice located at 966 Park St C3 , Stoughton MA 02072-3672. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Berwald, Rose Ann can be contacted via phone (781) 344-7673.

Contact Information

Primary practice address
966 Park St C3 Stoughton MA 02072-3672
Phone: (781) 344-7673
Fax: (781) 344-5955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 70519 Massachusetts

Profile Details

NPI number 1346208303
LBN Legal business name Berwald, Rose Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Aug 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346208303 NPPES
Massachusetts Other 070519 TUFTS
Massachusetts Other J08817 TUFTS
Massachusetts Other 13564 TUFTS
Massachusetts Other 32136 TUFTS
Massachusetts Other 0005929 TUFTS
Massachusetts MEDICAID 110047284/A TUFTS

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