Provider Demographics
NPI:1386621076
Name:ROSENSTEIN, REBECCA J (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:J
Last Name:ROSENSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:133 OLD ROAD TO 9 ACRE COR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4159
Mailing Address - Country:US
Mailing Address - Phone:978-287-3020
Mailing Address - Fax:
Practice Address - Street 1:271 CAREW ST
Practice Address - Street 2:MERCY INPATIENT MEDICAL ASSOCIATES
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104
Practice Address - Country:US
Practice Address - Phone:413-748-7272
Practice Address - Fax:413-748-7213
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2015-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA207836207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0103900Medicaid
MAJ22830OtherBLUE CROSS BLUE SHIELD
MAOX1122Medicare PIN
MA0103900Medicaid