Spitz, Robert M
Spitz, Robert M is an sole proprietor health care provider with primary practice located at 342 Montauk Ave , New London CT 06320-4706. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Spitz, Robert M can be contacted via phone (860) 442-9646.Contact Information
Primary practice address
342 Montauk Ave
New London CT 06320-4706
Phone: (860) 442-9646
Fax: (860) 439-0747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 22751 | Connecticut |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 22751 | Connecticut |
Profile Details
| NPI number | 1871575696 |
|---|---|
| LBN Legal business name | Spitz, Robert M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Sep 14th, 2011 - about 15 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 | 1871575696 | NPPES |
| Connecticut | Other | 603336 | CONNECTICARE |
| Connecticut | MEDICAID | 001227511 | CONNECTICARE |
| Connecticut | Other | 030641 | CONNECTICARE |
| Connecticut | Other | 001227511-00 | CONNECTICARE |
| Connecticut | Other | P368544 | CONNECTICARE |
| Connecticut | Other | 160014097 | CONNECTICARE |
| Connecticut | Other | 010022751CT02 | CONNECTICARE |
| Connecticut | Other | 0467494 | CONNECTICARE |
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