Organization
PULMONARY FUNCTION COOPERATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILENE LINDA ROSENBERG M.D. (OWNER)
12038041773
Entity
Organization
Contact information
Practice address
574 SKIFF ST, NORTH HAVEN, CT 06473-3014
(203) 804-1773
(203) 281-6780
Mailing address
574 SKIFF ST, NORTH HAVEN, CT 06473-3014
(203) 804-1773
(203) 281-6780
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
024635
CT
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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