Green, Robert Allen

Green, Robert Allen is an individual health care provider with primary practice located at 421 Cottage Grove Rd Suite A, Bloomfield CT 06002-3170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Green, Robert Allen can be contacted via phone (860) 286-0182.

Contact Information

Primary practice address
421 Cottage Grove Rd Suite A Bloomfield CT 06002-3170
Phone: (860) 286-0182
Fax: (860) 286-7839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 017732 Connecticut

Profile Details

NPI number 1578554499
LBN Legal business name Green, Robert Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578554499 NPPES
Connecticut Other 010017732CT01 ANTHEM/BCBS

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