Individual
JAMES STEPHEN ROSOKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 CONCORD STREET, GLASTONBURY, CT 06033
(860) 659-2779
(860) 633-9315
Mailing address
15 CONCORD STREET, GLASTONBURY, CT 06033
(860) 659-2779
(860) 633-9315
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16895
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001168954
—
CT
01
—
713297
CONNECTICARE
CT
01
—
HAS536
OXFORD
CT
Enumeration date
07/03/2006
Last updated
06/25/2010
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