| Doctor Name: | DR. MALCOLM L ROSENBLATT |
| NPI Number: | 1003871369 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 24233 |
| Business Practice Address: | 300 South St Brookline, MA - 024673658 |
| Business Phone Number: | 6174690300 |
| Business Fax Number: | |
| Mailing Address: | 241 Perkins St, C 405 JAMAICA PLAIN |
| State: | MA |
| Postal Code: | 021304002 |
| Phone Number: | 6175660419 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 24233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |