Rosenthal, Mark A.

Rosenthal, Mark A. is an individual health care provider with primary practice located at 1527 Route 12 Box 608, Gales Ferry CT 06335-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rosenthal, Mark A. can be contacted via phone (860) 464-7248.

Contact Information

Primary practice address
1527 Route 12 Box 608 Gales Ferry CT 06335-1800
Phone: (860) 464-7248
Fax: (860) 464-0125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 037353 Connecticut

Profile Details

NPI number 1144319690
LBN Legal business name Rosenthal, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jan 22nd, 2013 - about 13 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 1144319690 NPPES
Other 01037353 CIGNA
Other OV5871 CIGNA
Other 010037353CT0 CIGNA
Other 761223 CIGNA
MEDICAID 001373539 CIGNA
Other 1204724 CIGNA

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