| Doctor Name: | DR. ETHAN SAMUEL ROFMAN |
| NPI Number: | 1306896527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 29678 |
| Business Practice Address: | 123 Grant Ave Newton Centre, MA - 024591350 |
| Business Phone Number: | 7816872405 |
| Business Fax Number: | 7816872428 |
| Mailing Address: | 123 Grant Ave, NEWTON CENTRE |
| State: | MA |
| Postal Code: | 024591350 |
| Phone Number: | 7816872405 |
| Fax Number: | 7816872428 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0802X |
| License Number: | 29678 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Psychiatry |
| Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |