Individual
ROBERT SCANDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 JORDAN LN STE 3, WETHERSFIELD, CT 06109-1278
(860) 436-9757
(860) 436-9679
Mailing address
30 JORDAN LN STE 3, WETHERSFIELD, CT 06109-1278
(860) 436-9757
(860) 436-9679
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HCA.0000139
CT
376J00000X
Homemaker
HCA.0000139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8045681
—
CT
Enumeration date
06/02/2019
Last updated
06/02/2019
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