Rodin, Dennis M.

Rodin, Dennis M. is an individual health care provider with primary practice located at 1211 W Main St , Waterbury CT 06708-3106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Independent Medical Examiner, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rodin, Dennis M. can be contacted via phone (203) 755-0163.

Contact Information

Primary practice address
1211 W Main St Waterbury CT 06708-3106
Phone: (203) 755-0163
Fax: (203) 753-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 040418 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 040418 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 040418 Connecticut

Profile Details

NPI number 1093816969
LBN Legal business name Rodin, Dennis M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093816969 NPPES
Connecticut MEDICAID 001404186
Connecticut Other 040418
Connecticut Other 2V2068
Connecticut Other P2679357
Connecticut Other 2522042
Connecticut Other 010040418CT01

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