Individual
BRIAN DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 MAIN ST, ST. VINCENTS MEDICAL CENTER, BRIDGEPORT, CT 06606-4201
(203) 576-5177
Mailing address
2800 MAIN ST, ST. VINCENTS MEDICAL CENTER, BRIDGEPORT, CT 06606-4201
(203) 576-5177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
040558
CT
Other
Enumeration date
01/31/2007
Last updated
09/24/2007
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