ROBIN B FORMAN ROSE

STAMFORD HEALTH MEDICAL GROUP INC

Dr ROBIN B FORMAN ROSE is a female medical professional, specializing in Gastroenterology. She graduated in 2001 from New York College Of Osteo Medicine Of New York Institute Of Technology.

Contact

STAMFORD HEALTH MEDICAL GROUP INC

195 DANBURY RD
WILTON
CT
068974075

Tel: 2032768490

ROBIN B FORMAN ROSE Information

Npi 1336287515
Pac Id 9537257589
Professional Enrollment Id I20071108000725
Last Name FORMAN ROSE
First Name ROBIN
Middle Name B
Suffix
Gender F
Credential
Medical School Name NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year 2001
Primary Specialty GASTROENTEROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name STAMFORD HEALTH MEDICAL GROUP INC
Group Practice Pac Id 6901099746
Number Of Group Practice Members 264
Line 1 Street Address 195 DANBURY RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WILTON
State CT
Zip Code 068974075
Phone Number 2032768490
Hospital Affiliation Ccn 1 070006
Hospital Affiliation Lbn 1 STAMFORD HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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