Provider Demographics
NPI:1184199630
Name:ROSE PAOLINI, LLC
Entity type:Organization
Organization Name:ROSE PAOLINI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:PCNS, ANP
Authorized Official - Phone:774-266-2277
Mailing Address - Street 1:100 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1846
Mailing Address - Country:US
Mailing Address - Phone:617-372-1407
Mailing Address - Fax:
Practice Address - Street 1:100 LAUREL ST
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1846
Practice Address - Country:US
Practice Address - Phone:774-266-2277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty