Individual
DR. ROBERTA F ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 CROSS ST, 4TH FL, NORWALK, CT 06851-4647
(203) 845-4800
(203) 845-4871
Mailing address
761 MAIN AVE STE 112, NORWALK, CT 06851-1080
(203) 852-2290
(203) 899-5029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
034575
CT
207RR0500X
Rheumatology Physician
Primary
034575
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001345752
—
CT
Enumeration date
08/18/2005
Last updated
01/23/2019
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