Rose, Michal Gillian

Rose, Michal Gillian is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Rose, Michal Gillian can be contacted via phone (203) 937-3421.

Contact Information

Primary practice address
950 Campbell Ave West Haven CT 06516-2770
Phone: (203) 937-3421
Fax: (203) 937-3803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 033348 Connecticut
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 033348 Connecticut

Profile Details

NPI number 1962490904
LBN Legal business name Rose, Michal Gillian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jan 15th, 2015 - 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 1962490904 NPPES
Connecticut MEDICAID 001333492

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