| Ralph Rosenberg Md | |
|
36 E Main St Avon CT 06001-3801 | |
| (860) 677-5533 | |
| (860) 678-1305 |
| Full Name | Ralph Rosenberg Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 36 E Main St, Avon, Connecticut |
| Authorized Official Name and Position | Ralph Rosenberg (OWNER/OPERATOR) |
| Authorized Official Contact | 8606775533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Rosenberg Md 36 E Main St Avon CT 06001-3801 Ph: (860) 677-5533 | Ralph Rosenberg Md 36 E Main St Avon CT 06001-3801 Ph: (860) 677-5533 |
| NPI Number | 1871774885 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871774885 | NPI | - | NPPES |
| 004245884 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023114 (Connecticut) | Primary |
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