Windom, Robert

Windom, Robert is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Windom, Robert can be contacted via phone (203) 503-3250.

Contact Information

Primary practice address
400 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3250
Fax: (203) 503-3254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 021490 Connecticut

Profile Details

NPI number 1679548317
LBN Legal business name Windom, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jan 26th, 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 1679548317 NPPES
Connecticut MEDICAID 001214907
Connecticut MEDICAID 004235900

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