Individual
ROBERT E TIGELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 YORK ST, DERMATOLOGY, LCI ROOM 609, NEW HAVEN, CT 06510-3221
(203) 785-4632
(203) 785-3315
Mailing address
15 YORK ST, DERMATOLOGY, LCI ROOM 609, NEW HAVEN, CT 06510-3221
(203) 785-4632
(203) 785-3315
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
031011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001310119
—
CT
Enumeration date
11/16/2005
Last updated
04/06/2011
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