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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 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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