Provider Demographics
NPI:1578192647
Name:ROSENBERG, TOM (MD)
Entity Type:Individual
Prefix:MR
First Name:TOM
Middle Name:
Last Name:ROSENBERG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:450 BROOKLINE AVENUE
Mailing Address - Street 2:DANA-3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5450
Mailing Address - Country:US
Mailing Address - Phone:617-632-5345
Mailing Address - Fax:617-632-4367
Practice Address - Street 1:450 BROOKLINE AVENUE
Practice Address - Street 2:DANA-3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5450
Practice Address - Country:US
Practice Address - Phone:617-632-5345
Practice Address - Fax:617-632-4367
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2022-09-30
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Provider Licenses
StateLicense IDTaxonomies
MA2925852080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology