# DR. ROBERT F DIBBLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1902835556
- **Gender:** Man
- **Credential:** M. D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 030376 | CT | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 10/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001303768 | — | CT |
| 05 | — | 004215415 | — | CT |
| 01 | — | 010030376CT01 | ANTHEM PROVIDER \# | CT |
| 01 | — | 0122742 | AETNA PROVIDER \# | CT |
| 01 | — | 050058 | HEALTHNET PROVIDER ID | CT |
| 01 | — | 08-04978 | UNITED HEALTHCARE ID\# | CT |
| 01 | — | 799860 | CONNECTICARE PROV \# | CT |
| 01 | — | WIS003 | OXFORD PROVIDER \# | CT |