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Individual

DR. ALLAN I. ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
30 PROSPECT ST, SUITE 400, RIDGEFIELD, CT 06877-4514
(203) 431-0048
(203) 431-6328
Mailing address
30 PROSPECT ST, SUITE 400, RIDGEFIELD, CT 06877-4514
(203) 431-0048
(203) 431-6328

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
164
CT
213ES0000X
Sports Medicine Podiatrist
164
CT
213ES0131X
Foot Surgery Podiatrist
164
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010164
CONNECTICARE
CT
01
030000164CT01
ANTHEM
CT
01
041251
HEALTHNET
CT
01
13098
GHI
NY
05
4006334
CT
Enumeration date
08/10/2005
Last updated
03/10/2008
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