Rose, Suzanne

Rose, Suzanne is an individual health care provider with primary practice located at 263 Farmington Ave Gastroenterology, Farmington CT 06030-2817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Rose, Suzanne can be contacted via phone (860) 679-3238.

Contact Information

Primary practice address
263 Farmington Ave Gastroenterology Farmington CT 06030-2817
Fax: (860) 679-1217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 050382 Connecticut

Profile Details

NPI number 1144258930
LBN Legal business name Rose, Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 19th, 2012 - about 13 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 1144258930 NPPES
Connecticut MEDICAID 1144258930

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