Rosenblum, Jennifer Leigh

Rosenblum, Jennifer Leigh is an individual health care provider with primary practice located at 40 2Nd Ave Ste 300 Mgh West, Waltham MA 02451-1136. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Rosenblum, Jennifer Leigh can be contacted via phone (617) 643-1201.

Contact Information

Primary practice address
40 2Nd Ave Ste 300 Mgh West Waltham MA 02451-1136
Phone: (617) 643-1201
Fax: (617) 243-6798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 209839 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 209839 Massachusetts

Profile Details

NPI number 1316998107
LBN Legal business name Rosenblum, Jennifer Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 30th, 2012 - about 14 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 1316998107 NPPES
Massachusetts MEDICAID 0197629
Massachusetts Other J25140
Massachusetts Other 209839

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