Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 021424 | CT |
Y | 2080P0201X | Pediatric Allergist | 021424 | CT |
NPI | 1659354082 |
---|---|
Provider Name | James Paul Rosen |
First Address | West Hartford, CT 06119 |
Second Address | West Hartford, CT 06119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 06/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00121424600 | BLUE CROSS MEDICAID (01) | |
010021424CT01 | BLUE CROSS (01) | |
0445270002 | CIGNA (01) | |
051022 | CONNECTICARE (01) | |
212201 | PREFERRED ONE (01) | |
D02952 | (02) | |
OS2482 | HEALTHNET & HEALTHNET MED (01) | |
P694441 | OXFORD (01) |