Bundy, Robert Joseph

Bundy, Robert Joseph is an individual health care provider with primary practice located at 112 Mansfield Ave Pulmonary Dept., Hatch Wing, Willimantic CT 06226-2041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bundy, Robert Joseph can be contacted via phone (860) 456-7279.

Contact Information

Primary practice address
112 Mansfield Ave Pulmonary Dept., Hatch Wing Willimantic CT 06226-2041
Phone: (860) 456-7279
Fax: (860) 450-0269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25147 Connecticut

Profile Details

NPI number 1962400630
LBN Legal business name Bundy, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 27th, 2015 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962400630 NPPES
Connecticut MEDICAID 001251479
Connecticut Other 1962400630

Popular Providers