Provider Information for 1831101278
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. KATHRYN ROSENTHAL GOLDMAN M.D.
Other Names:Former Name:Dr. KATHRYN E. ROSENTHAL M.D.Sex: Female
NPI: 1831101278
Last Updated: 2010-07-29
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1831101278 | ||||||||||||
Enumeration Date | 2006-08-13 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 131 COVENTRY ST BURGDORF CLINIC - 2ND FLOOR ADMINISTRATION HARTFORD, CT 06112-1548 United States Phone: 860-714-3690 | Fax:860-714-8683 | ||||||||||||
Primary Practice Address | 131 COVENTRY ST BURGDORF CLINIC - 2ND FLOOR ADMINISTRATION HARTFORD, CT 06112-1548 United States Phone: 860-714-3690 | Fax:860-714-8683 | ||||||||||||
Secondary Practice Address(es) | |||||||||||||
Health Information Exchange |
| ||||||||||||
Other Identifiers |
| ||||||||||||
Taxonomy |
|