Rothermel, Holly

Rothermel, Holly is an individual health care provider with primary practice located at 55 Fruit St Yaw 6, Pediatric Group Practice, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is her primary health care specialty. Rothermel, Holly can be contacted via phone (617) 726-2728.

Contact Information

Primary practice address
55 Fruit St Yaw 6, Pediatric Group Practice Boston MA 02114-2621
Phone: (617) 726-2728
Fax: (617) 726-3948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 150450 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 150450 Massachusetts

Profile Details

NPI number 1215913926
LBN Legal business name Rothermel, Holly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Nov 29th, 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 1215913926 NPPES
Massachusetts Other 150450 TUFTS HEALTH PLAN
Massachusetts Other J16594 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3152341 TUFTS HEALTH PLAN

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