Individual
DAVID ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
GAYLORD FARMS RD., WALLINGFORD, CT 06492
(203) 284-2800
(203) 679-3598
Mailing address
PO BOX 400, GAYLORD FARMS RD., WALLINGFORD, CT 06492-7048
(203) 284-2800
(203) 679-3598
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
031414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314145
—
CT
Enumeration date
11/14/2005
Last updated
07/08/2007
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