Most Relevant Information
Provider Data
| NPI Number: | 1003685074 |
| Provider Name: | BLISS BECKWITH ROSE |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/01/2024 |
| Last Updated: | 01/01/2024 |
Provider Practice Location
136 HARRISON AVE RM 510A
BOSTON
MA
021111817
Practice Location Phone/Fax
| Phone: | 6176360975 |
| Fax: |
Provider Mailing Location
36 PRICHARD AVE
SOMERVILLE
MA
021442323
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |