Individual
ROBIN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, 5-4 SP, NEW HAVEN, CT 06510-3220
(203) 688-1952
(203) 688-2394
Mailing address
36 LINCOLN ST, NORTH HAVEN, CT 06473-1806
(203) 234-3977
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001625
CT
Other
Enumeration date
08/09/2006
Last updated
07/30/2015
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