Healthcare Provider Details

I. General information

NPI: 1437083961
Provider Name (Legal Business Name): NORMAN S ROSENTHAL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 TRAILS END RD
WILTON CT
06897-3330
US

IV. Provider business mailing address

14 TRAILS END RD
WILTON CT
06897-3330
US

V. Phone/Fax

Practice location:
  • Phone: 203-563-9857
  • Fax: 203-563-9859
Mailing address:
  • Phone: 203-563-9857
  • Fax: 203-563-9859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number703ZLO
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: