Individual
DR. ROSEMARY BALSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
17 HILLHOUSE AVE, NEW HAVEN, CT 06511-6815
(203) 432-0076
(203) 432-7289
Mailing address
17 HILLHOUSE AVE, NEW HAVEN, CT 06511-6815
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
014044
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A85530591
CONTROLLED SUBSTANCE-U.S.
CT
Enumeration date
06/09/2006
Last updated
07/08/2007
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