Individual
DR. MARC ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPT OF PSYCHIATRY,116A, VA CONNECTICUT HEALTHCARE SYSTEM, WEST HAVEN, CT 06516
(203) 932-5711
(775) 599-1511
Mailing address
32 SUNBROOK RD, WOODBRIDGE, CT 06525-1833
(203) 932-5711
(775) 599-1511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029211
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029211
MEDICAL LICENSE
CT
Enumeration date
09/22/2006
Last updated
07/08/2007
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