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Individual

DR. CHARLES JOSEPH ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-6000
Mailing address
1177 SUMMER ST, STAMFORD, CT 06905-5572
(203) 353-1133

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52907
CT
207RC0000X
Cardiovascular Disease Physician
52907
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
52907
CT

Other

Enumeration date
04/01/2010
Last updated
04/18/2022
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