Individual
DR. JENNIFER BLOCK ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511
(203) 432-0076
(203) 432-7289
Mailing address
PO BOX 208237, NEW HAVEN, CT 06520
(203) 432-0074
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
048484
CT
2084N0400X
Neurology Physician
255779
NY
Other
Enumeration date
02/25/2010
Last updated
01/09/2012
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