Roseman, Mark Mandel

Roseman, Mark Mandel is an individual health care provider with primary practice located at 230 Maple St , Holyoke MA 01040-5144. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Roseman, Mark Mandel can be contacted via phone (413) 420-2214.

Contact Information

Primary practice address
230 Maple St Holyoke MA 01040-5144
Fax: (413) 420-2250
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 10889 Massachusetts

Profile Details

NPI number 1316943103
LBN Legal business name Roseman, Mark Mandel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2005
Last updated Nov 5th, 2008 - about 18 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 1316943103 NPPES
Massachusetts MEDICAID 1300237
Massachusetts MEDICAID 0231762

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