Tigelaar, Robert E

Tigelaar, Robert E is an individual health care provider with primary practice located at 15 York St Dermatology, Lci Room 609, New Haven CT 06510-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Tigelaar, Robert E can be contacted via phone (203) 785-4632.

Contact Information

Primary practice address
15 York St Dermatology, Lci Room 609 New Haven CT 06510-3221
Phone: (203) 785-4632
Fax: (203) 785-3315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 031011 Connecticut

Profile Details

NPI number 1073595070
LBN Legal business name Tigelaar, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 6th, 2011 - about 13 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 1073595070 NPPES
Connecticut MEDICAID 001310119

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