Individual
DR. MARK KANTROWITZ ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-4580
Mailing address
110 MAIN ST APT 2E, TUCKAHOE, NY 10707-2936
(781) 367-9547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
62351
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2015
Last updated
02/21/2019
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