Individual
DR. ROBIN B FORMAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
38C GROVE ST, RIDGEFIELD, CT 06877-4669
(203) 900-4416
(203) 666-5649
Mailing address
38C GROVE ST, RIDGEFIELD, CT 06877-4669
(203) 900-4416
(203) 666-5649
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
45319
CT
Other
Enumeration date
02/01/2007
Last updated
07/08/2021
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