Adamenko, Robert S.

Adamenko, Robert S. is an individual health care provider with primary practice located at 320 Western Blvd Suite 102, Glastonbury CT 06033-1259. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Adamenko, Robert S. can be contacted via phone (860) 633-9235.

Contact Information

Primary practice address
320 Western Blvd Suite 102 Glastonbury CT 06033-1259
Phone: (860) 633-9235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 038613 Connecticut

Profile Details

NPI number 1629040100
LBN Legal business name Adamenko, Robert S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629040100 NPPES
Connecticut MEDICAID 001386136

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