Rosenberg, Bradley L.

Rosenberg, Bradley L. is an individual health care provider with primary practice located at 333 Kennedy Dr Suite L-104, Torrington CT 06790-3060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rosenberg, Bradley L. can be contacted via phone (860) 496-4043.

Contact Information

Primary practice address
333 Kennedy Dr Suite L-104 Torrington CT 06790-3060
Phone: (860) 496-4043
Fax: (860) 496-4046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 033543 Connecticut

Profile Details

NPI number 1679591168
LBN Legal business name Rosenberg, Bradley L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1679591168 NPPES
Other 010033543CT01 BLUE CROSS
MEDICAID 1335430 BLUE CROSS
Other 2V0428 BLUE CROSS
Other 335430 BLUE CROSS
Other 2639112 BLUE CROSS

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