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Individual

DR. GWENN ROSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
154 HEMPSTEAD ST, FIRST FLOOR, NEW LONDON, CT 06320
(860) 650-1030
(855) 869-4891
Mailing address
16 RIVERVIEW PL, QUAKER HILL, CT 06375
(503) 758-1878
(855) 869-4891

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000486
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12446377
CAQH
CT
Enumeration date
10/15/2012
Last updated
11/27/2019
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