Organization
RALPH ROSENBERG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH ROSENBERG MD (OWNER/OPERATOR)
(860) 677-5533
Entity
Organization
Contact information
Practice address
36 E MAIN ST, AVON, CT 06001-3801
(860) 677-5533
(860) 678-1305
Mailing address
36 E MAIN ST, AVON, CT 06001-3801
(860) 677-5533
(860) 678-1305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023114
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004245884
—
CT
Enumeration date
11/19/2007
Last updated
11/27/2007
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