SALLY ROSENGREN MD NPI 1912904335

NPI Information

NPI: 1912904335
Provider Name: SALLY ROSENGREN, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Address:
65 KANE ST
GENETICS
WEST HARTFORD, CT
ZIP 06119
Phone: (860) 523-6464
Get Directions

Sally Rosengren, MD is a clinical genetics (m.d.) medical genetics in West Hartford, CT. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Sally Rosengren, MD NPI is 1912904335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

65 KANE ST
GENETICS
WEST HARTFORD, CT
ZIP 06119-110
Phone: (860) 523-6464
Fax: (860) 523-6465

The enumeration date for this NPI number is 6/30/2005 and was last updated on 8/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		025891	CONNECTICUT	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	025891	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	370000246	MEDICARE PIN	CONNECTICUT
2	1258912	MEDICAID	CONNECTICUT
3	E37730	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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