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Individual

ROBERT REGINIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0263
(860) 263-0267
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0263
(860) 263-0267

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
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