Organization
ROSLYN CHOSAK M.D.,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSLYN CHOSAK M.D. (OWNER)
(203) 562-5439
Entity
Organization
Contact information
Practice address
2 CHURCH ST S, SUITE 501, NEW HAVEN, CT 06519-1717
(203) 562-5439
(203) 624-5157
Mailing address
2 CHURCH STREET SOUTH, SUITE 501, NEW HAVEN, CT 06519
(203) 562-5439
(203) 624-5157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022991
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010022991CT02
ANTHEM
CT
01
—
1051396
AETNA
CT
01
—
764-353
CONNECTICARE
CT
01
—
NHP086
OXFORD
CT
01
—
OQ2292
HEALTHNET
CT
Enumeration date
11/15/2010
Last updated
11/15/2010
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