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Individual

DR. ROSLYN CHOSAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2 CHURCH ST S, SUITE 501, NEW HAVEN, CT 06519-1717
(203) 562-5439
(203) 624-5157
Mailing address
2 CHURCH ST SOUTH, SUITE 501, NEW HAVEN, CT 06519-1717
(203) 562-5439
(203) 624-5157

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
022991
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010022991CT02
ANTHEM
CT
01
06-1364353
FED TAX ID
CT
01
061364353
UNITED HEALTHCARE
CT
01
1051396
AETNA
CT
01
764-353
CONNECTICARE
CT
01
NHP086
OXFORD
CT
01
OQ2292
HEALTHNET
CT
01
PR02145640001
CIGNA
CT
Enumeration date
04/18/2006
Last updated
11/10/2010
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