Healthcare Provider Details

I. General information

NPI: 1619310588
Provider Name (Legal Business Name): ROSA ANNA FINI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 RIVER RD
COS COB CT
06807-2759
US

IV. Provider business mailing address

35 RIVER ROAD
COS COB CT
06807
US

V. Phone/Fax

Practice location:
  • Phone: 203-629-5800
  • Fax:
Mailing address:
  • Phone: 203-629-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number033636
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: