Individual ProviderMarc RosenPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice AddressDept Of Psychiatry,116a, Va Connecticut Healthcare System, West Haven, CT 06516(203) 932-5711PECOS EnrollmentBased on the most recent information from CMS, provider Marc Rosen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1164521290Provider TypeIndividualFull NameRosen, MarcTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date9/22/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressDept Of Psychiatry,116a, Va Connecticut Healthcare System, West Haven, CT 06516Phone(203) 932-5711Fax(775) 599-1511Mailing LocationMailing Address32 Sunbrook Rd, Woodbridge, CT 06525-1833Phone(203) 932-5711Fax(775) 599-1511Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense029211ConnecticutProvider IdentifiersIDDescriptionIssuerID029211DescriptionOtherIssuerMEDICAL LICENSEConnecticut