Provider Demographics
NPI:1376583591
Name:ROSENCRANTZ, RICHARD ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ALLEN
Last Name:ROSENCRANTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 CEDAR ST; FMP 408
Mailing Address - Street 2:PO BOX 208064
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8064
Mailing Address - Country:US
Mailing Address - Phone:203-785-4649
Mailing Address - Fax:203-737-1384
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06504-8900
Practice Address - Country:US
Practice Address - Phone:203-785-4649
Practice Address - Fax:203-737-1384
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2008-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0469982080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology