Organization
JAMES S. ROSOKOFF, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES STEPHEN ROSOKOFF M.D. (PRESIDENT)
(860) 659-2779
Entity
Organization
Contact information
Practice address
15 CONCORD ST, GLASTONBURY, CT 06033-2135
(860) 659-2779
(860) 633-9315
Mailing address
15 CONCORD ST, GLASTONBURY, CT 06033-2135
(860) 659-2779
(860) 633-9315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016895
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001168954
—
CT
01
—
713297
CONNECTICARE
—
01
—
HAS536
OXFORD/UNITED HEALTHCARE
—
Enumeration date
06/28/2010
Last updated
06/28/2010
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