| Lawrence E. Rosenberg, Mdpc | |
| 
					18 Chase St Newton Centre MA 02459-2214  | |
| (617) 527-2130 | |
| Not Available | 
| Full Name | Lawrence E. Rosenberg, Mdpc | 
|---|---|
| Speciality | Psychiatry & Neurology | 
| Location | 18 Chase St, Newton Centre, Massachusetts | 
| Authorized Official Name and Position | Lawrence Elliot Rosenberg (PRESIDENT) | 
| Authorized Official Contact | 6175272130 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lawrence E. Rosenberg, Mdpc 18 Chase St Newton Centre MA 02459-2214 Ph: (617) 527-2130  | Lawrence E. Rosenberg, Mdpc 18 Chase St Newton Centre MA 02459-2214 Ph: (617) 527-2130  | 
| NPI Number | 1033308929 | 
|---|---|
| Provider Enumeration Date | 10/17/2007 | 
| Last Update Date | 03/07/2023 | 
| Medicare PECOS PAC ID | 5890819163 | 
|---|---|
| Medicare Enrollment ID | O20100824000919 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033308929 | NPI | - | NPPES | 
| 33957 | Other | MA | LICENSE | 
| MO8551 | Other | MA | BLUE CROSS/BLUE SHIELD | 
| Provider Name | Lawrence Elliott Rosenberg | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1508917899 PECOS PAC ID: 4284673955 Enrollment ID: I20050502001016  | 
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