Provider Demographics
NPI:1962459750
Name:SCHIPANI, ROSANNE (MD)
Entity Type:Individual
Prefix:
First Name:ROSANNE
Middle Name:
Last Name:SCHIPANI
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 1:37 ALGONQUIN AVE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5527
Mailing Address - Country:US
Mailing Address - Phone:978-749-3690
Mailing Address - Fax:978-749-8898
Practice Address - Street 1:37 ALGONQUIN AVE
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5527
Practice Address - Country:US
Practice Address - Phone:978-749-3690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA741872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAF26446Medicare UPIN