Individual
DR. GLEN ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 845-8570
Mailing address
831 BOSTON POST RD, SUITE 203, MILFORD, CT 06460-3536
(203) 783-1831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
041323
CT
207L00000X
Anesthesiology Physician
Primary
41323
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001413236
—
CT
Enumeration date
10/06/2005
Last updated
10/02/2013
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