Individual
MICHAEL ALLEN ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 YORK ST, SUITE 2E, NEW HAVEN, CT 06511
(203) 787-3588
(203) 777-3767
Mailing address
100 YORK ST, SUITE 2E, NEW HAVEN, CT 06511
(203) 787-3588
(203) 777-3767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017374
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001173749
—
CT
01
—
010017374CT02
ANTHEM INS.
—
01
—
1051478
AETNA HEALTHPLAN
—
01
—
110015320
RAILROAD MEDICARE
—
01
—
2V6552
HEALTHNET
—
01
—
6270838
CIGNA
—
01
—
639328
CONNECTICARE
—
Enumeration date
06/20/2006
Last updated
07/08/2007
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