# PETER R ROGOL MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346664786
- **Authorized official:** CECILIA ELLIOTT (SECRETARY)
- **Authorized official phone:** (203) 248-8800

## Contact information

- **Practice address:** 2080 WHITNEY AVE, 210, HAMDEN, CT 06518-3600
- **Practice address phone:** (203) 248-8800
- **Practice address fax:** (203) 288-5264
- **Mailing address:** 2080 WHITNEY AVE, 210, HAMDEN, CT 06518-3600
- **Mailing address phone:** (203) 248-8800
- **Mailing address fax:** (203) 288-5264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 024790 | CT | Yes |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 02/07/2014