Provider Demographics
NPI:1134345077
Name:ROSNER, BELLA (LICENSED ACUPUNCTURI)
Entity type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:ROSNER
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURI
Other - Prefix:
Other - First Name:BELLA
Other - Middle Name:
Other - Last Name:ROSNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:23 WYOMING RD
Mailing Address - Street 2:
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1234
Mailing Address - Country:US
Mailing Address - Phone:617-332-4542
Mailing Address - Fax:
Practice Address - Street 1:23 WYOMING RD
Practice Address - Street 2:
Practice Address - City:NEWTONVILLE
Practice Address - State:MA
Practice Address - Zip Code:02460-1234
Practice Address - Country:US
Practice Address - Phone:617-332-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA420171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist