MEDICARE: DR. WILLIAM E ROSNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	21674	CT

General Provider Information

NPI Number	:	1114961083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM E ROSNER M.D.

Provider Business Mailing Address
First Line	:	755 CAMPBELL AVE
Second Line	:
City	:	WEST HAVEN
State	:	CT
Zip	:	06516-3715
Country	:	US
Telephone Number	:	203-931-2828
Fax Number	:	203-931-2830

Provider Business Practice Location Address
First Line	:	755 CAMPBELL AVE
Second Line	:
City	:	WEST HAVEN
State	:	CT
Zip	:	06516-3715
Country	:	US
Telephone Number	:	203-931-2828
Fax Number	:	203-931-2830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/13/2013

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