Elisofon, Robert Myron
Elisofon, Robert Myron is an individual health care provider with primary practice located at 38 B Grove St , Ridgefield CT 06877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Elisofon, Robert Myron can be contacted via phone (203) 438-9557.Contact Information
Primary practice address
38 B Grove St
Ridgefield CT 06877
Phone: (203) 438-9557
Fax: (203) 438-7857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 016398 | Connecticut |
Profile Details
| NPI number | 1164495586 |
|---|---|
| LBN Legal business name | Elisofon, Robert Myron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1164495586 | NPPES |
| Connecticut | MEDICAID | 00163989 |
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