Provider Demographics
NPI:1922094838
Name:ROSENBLATT, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:ROSENBLATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-832-8150
Mailing Address - Fax:860-224-6953
Practice Address - Street 1:300 KENSINGTON AVE
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-3916
Practice Address - Country:US
Practice Address - Phone:860-832-8150
Practice Address - Fax:860-224-6953
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT020590207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004062394Medicaid
CT060033OtherHEALTH NET
CT460000375OtherRAIL ROAD MEDICARE
CTP369703OtherOXFORD
CT1255448155OtherGHMC GROUP NPI ID
CT01020590OtherCIGNA
CT0597861275OtherCONNECTICARE
CT477144OtherAETNA
CT001205905Medicaid
CT135666OtherWELLCARE MEDICARE
CT010020590CT02OtherBCBS & BCFP ID
CT1255448155OtherGHMC GROUP NPI ID
CT135666OtherWELLCARE MEDICARE
CT110004058Medicare ID - Type Unspecified