Rosenberg, Lawrence Gene
Rosenberg, Lawrence Gene is an sole proprietor health care provider with primary practice located at 1105 Massachusetts Ave Suite 3F, Cambridge MA 02138-5221. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rosenberg, Lawrence Gene can be contacted via phone (617) 491-1085.Contact Information
Primary practice address
1105 Massachusetts Ave Suite 3F
Cambridge MA 02138-5221
Phone: (617) 491-1085
Fax: (617) 876-3494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5018 | Massachusetts |
Profile Details
| NPI number | 1134104623 |
|---|---|
| LBN Legal business name | Rosenberg, Lawrence Gene |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jan 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134104623 | NPPES |
| Massachusetts | Other | W04716 | BC/BS OF MASSACHUSETTS |
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