Dudley, Robert
Dudley, Robert is an individual health care provider with primary practice located at 85 Lafayette Street , New Britain CT 06051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dudley, Robert can be contacted via phone (860) 224-3642.Contact Information
Primary practice address
85 Lafayette Street
New Britain CT 06051
Phone: (860) 224-3642
Fax: (860) 224-2760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 035321 | Connecticut |
Profile Details
| NPI number | 1710983937 |
|---|---|
| LBN Legal business name | Dudley, Robert |
| Credentials | MD, MED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 6th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710983937 | NPPES |
| Connecticut | MEDICAID | 008010542 |
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