Individual
MRS. ELLEN A ROSEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LO
Contact information
Practice address
236 N MAIN ST, MANCHESTER, CT 06042-2004
(860) 646-3577
(860) 643-9733
Mailing address
236 N MAIN ST, MANCHESTER, CT 06042-2004
(860) 646-3577
(860) 643-9733
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001298
CT
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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