Individual
ROBERT BARRY ROSENBLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1574 CHAPEL STREET, NEW HAVEN, CT 06511-4205
(203) 865-1480
(203) 865-0290
Mailing address
55 SALEM RD, FAIRFIELD, CT 06824-7142
(203) 260-7163
(203) 865-0290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
008938
CT
1223G0001X
General Practice Dentistry
Primary
8938
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002089383
—
CA
Enumeration date
02/02/2007
Last updated
10/30/2015
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