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Individual

DR. ROBERT M. SPILLANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 289-3375
(860) 560-2849
Mailing address
18 BAINBRIDGE RD, WEST HARTFORD, CT 06119-1101
(860) 289-3375
(860) 560-2849

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
041901
CT
2085R0204X
Vascular & Interventional Radiology Physician
041901
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033161088
CT
Enumeration date
05/17/2006
Last updated
10/20/2008
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