Rosengren, Sally

Rosengren, Sally is an individual health care provider with primary practice located at 65 Kane St Genetics, West Hartford CT 06119-2110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Rosengren, Sally can be contacted via phone (860) 523-6464.

Contact Information

Primary practice address
65 Kane St Genetics West Hartford CT 06119-2110
Phone: (860) 523-6464
Fax: (860) 523-6465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 025891 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 025891 Connecticut

Profile Details

NPI number 1912904335
LBN Legal business name Rosengren, Sally
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 7th, 2013 - about 11 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 1912904335 NPPES
Connecticut MEDICAID 1258912

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