Individual
ROSE KNITTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
165 CAPITOL AVE, PO BOX 150469-1172, HARTFORD, CT 06106-1659
(860) 380-5150
(860) 726-2230
Mailing address
1290 SILAS DEANE HIGHWAY, HHC - CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75693
CT
207Q00000X
Family Medicine Physician
MD60876085
WA
207Q00000X
Family Medicine Physician
ML60661994
WA
207QA0505X
Adult Medicine Physician
MD60876085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01414618
LABOR AND INDUSTRIES
WA
05
—
2059441
—
WA
Enumeration date
05/23/2016
Last updated
05/10/2024
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