Rosokoff, James Stephen
Rosokoff, James Stephen is an individual health care provider with primary practice located at 15 Concord Street , Glastonbury CT 06033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Rosokoff, James Stephen can be contacted via phone (860) 659-2779.Contact Information
Primary practice address
15 Concord Street
Glastonbury CT 06033
Phone: (860) 659-2779
Fax: (860) 633-9315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 16895 | Connecticut |
Profile Details
| NPI number | 1629008131 |
|---|---|
| LBN Legal business name | Rosokoff, James Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jun 25th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629008131 | NPPES |
| Connecticut | Other | 713297 | CONNECTICARE |
| Connecticut | Other | HAS536 | CONNECTICARE |
| Connecticut | MEDICAID | 001168954 | CONNECTICARE |
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