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SUSAN ROSENTHAL MD NPI 1740365634


NPI Information

NPI: 1740365634
Provider Name: SUSAN ROSENTHAL, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

Address:
20 CHAPEL ST APT C612
BROOKLINE, MA
ZIP 02446
Phone: (732) 672-0224
Get Directions

Susan Rosenthal, MD is a pediatric gastroenterology pediatrics in Brookline, MA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Susan Rosenthal, MD NPI is 1740365634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 CHAPEL ST APT C612
BROOKLINE, MA
ZIP 02446-403
Phone: (732) 672-0224

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics25MA04598100NEW JERSEYNo
22080P0206XPediatricsPediatric GastroenterologyMA45981NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10513105MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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