Duckrow, Robert Bradford

Duckrow, Robert Bradford is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Building, New Haven CT 06519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Duckrow, Robert Bradford can be contacted via phone (203) 785-2140.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians Building New Haven CT 06519
Fax: (203) 785-6414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 030629 Connecticut

Profile Details

NPI number 1366424004
LBN Legal business name Duckrow, Robert Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Mar 14th, 2012 - 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 1366424004 NPPES
Connecticut MEDICAID 001306291

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