Individual
GEORGE M ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 MAIN ST, PORTLAND, CT 06480-1857
(860) 342-3392
(860) 358-8658
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4819
(860) 632-0240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018715
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187152
—
CT
Enumeration date
06/28/2006
Last updated
06/10/2010
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