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Individual

DR. BRIAN J ROSENHEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
(203) 709-3679
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1253
(203) 709-8873
(203) 709-8689

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5876
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001005017
CT
01
0661243
COVENTRY
CT
01
355258
WELLCARE
CT
01
501000
CONNECTICARE
CT
01
5296284
AETNA
CT
01
PENDING
RR MEDICARE
CT
Enumeration date
02/15/2006
Last updated
10/29/2024
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