Individual
ROBERT REGINIO
Active
Individual
ROBERT REGINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019615
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001196155
—
CT
01
—
010019615CT02
BCBC CT
—
01
—
019615
MEDICAL LICENSE
CT
Enumeration date
01/30/2006
Last updated
03/07/2023
Update your record
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