Individual
MR. IAN ERIC ROSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
10 4TH AVE APT 12, WEST HAVEN, CT 06516-3745
(203) 535-5441
Mailing address
10 4TH AVE APT 12, WEST HAVEN, CT 06516-3745
(203) 535-5441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000618
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54000528
CT DPH
CT
Enumeration date
03/14/2006
Last updated
05/13/2019
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