Provider Demographics
NPI:1316939754
Name:ROSENTHAL, BARBARA LILLIAN (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LILLIAN
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 CANDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2972
Mailing Address - Country:US
Mailing Address - Phone:802-447-0000
Mailing Address - Fax:802-442-4636
Practice Address - Street 1:RAILROAD ST
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:VT
Practice Address - Zip Code:05656
Practice Address - Country:US
Practice Address - Phone:802-447-0000
Practice Address - Fax:802-332-3819
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2021-09-23
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-11
Provider Licenses
StateLicense IDTaxonomies
NY192155-1207Q00000X
MA216297207Q00000X
VT042-000-8620207QA0401X
VT0420008620207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2078252Medicaid
VT0VN0505Medicaid
VTCA1671Medicare PIN
NYRB3063Medicare PIN
B56148Medicare UPIN
MAVN050502Medicare PIN