Individual
MR. THOMAS RUSSELL ROZEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-3414
Mailing address
61 LARCH LN, MASSAPEQUA PARK, NY 11762-3923
(516) 305-7097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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