Individual
DR. MARC LEWIS ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-2579
Mailing address
PO BOX 208071, NEW HAVEN, CT 06520-8071
(203) 785-2579
(203) 785-4784
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
031498
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314989
—
CT
Enumeration date
05/25/2006
Last updated
05/12/2020
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