Individual
DR. DONALD G ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
447 MERIDEN RD, WATERBURY, CT 06705
(203) 574-5650
(203) 574-7815
Mailing address
447 MERIDEN RD, WATERBURY, CT 06705
(203) 574-5650
(203) 574-7815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010019644CT04
ANTHEM BLUECROSS
CT
Enumeration date
07/26/2006
Last updated
12/27/2007
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