Individual
MICHAL GILLIAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 937-3421
(203) 937-3803
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 937-3421
(203) 937-3803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
033348
CT
207RH0003X
Hematology & Oncology Physician
Primary
033348
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001333492
—
CT
Enumeration date
10/13/2005
Last updated
01/15/2015
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