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ROBERT G DORR NPI 1083815492


NPI Information

NPI: 1083815492
Provider Name: ROBERT G DORR

Doing Business As: PEDIATRIC ASSOCIATES OF BRANFORD

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D0705668

Address:
420 E MAIN ST
#6
BRANFORD, CT
ZIP 06405
Phone: (203) 488-8345
Get Directions

ROBERT G DORR is a pediatrics in Branford, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ROBERT G DORR NPI is 1083815492. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Associates Of Branford.

The provider's business location address is:

420 E MAIN ST
#6
BRANFORD, CT
ZIP 06405
Phone: (203) 488-8345
Fax: (203) 483-8668

The provider's authorized official is Robert George Dorr .
The authorized official title is Physician Owner and has the following contact phone number (203) 488-8345.

The CLIA number assigned to this NPI record is 07D0705668 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104162484MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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