Rosen, Marc Lewis

Rosen, Marc Lewis is an individual health care provider with primary practice located at 800 Howard Ave , New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Rosen, Marc Lewis can be contacted via phone (203) 785-2579.

Contact Information

Primary practice address
800 Howard Ave New Haven CT 06519-1369
Phone: (203) 785-2579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 031498 Connecticut

Profile Details

NPI number 1023064821
LBN Legal business name Rosen, Marc Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 12th, 2020 - about 4 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 1023064821 NPPES
Connecticut MEDICAID 001314989

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