Individual
ROSEANNE BERNADETTE GANIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BEACHVIEW AVE # CONDO222, BRIDGEPORT, CT 06605-3262
(203) 218-0275
Mailing address
1425 BARNUM AVE STE 2, STRATFORD, CT 06614-5429
(203) 383-7741
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
E49092
CT
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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