Individual
JAMES PAUL ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 FARMINGTON AVENUE, SUITE 207, WEST HARTFORD, CT 06119
(860) 232-9911
(860) 233-5996
Mailing address
836 FARMINGTON AVENUE, SUITE 207, WEST HARTFORD, CT 06119
(860) 232-9911
(860) 233-5996
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
021424
CT
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
021424
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00121424600
BLUE CROSS MEDICAID
—
01
—
010021424CT01
BLUE CROSS
—
01
—
0445270002
CIGNA
—
01
—
051022
CONNECTICARE
—
01
—
212201
PREFERRED ONE
—
01
—
OS2482
HEALTHNET & HEALTHNET MED
—
01
—
P694441
OXFORD
—
Enumeration date
11/21/2005
Last updated
10/06/2015
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