Individual
DR. ROBERT I LEVENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1312 W MAIN ST, STE 101, WATERBURY, CT 06708
(203) 756-6422
(203) 756-2448
Mailing address
166 WATERBURY RD, STE 104, PROSPECT, CT 06712-1246
(203) 756-6422
(203) 756-2448
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
029930
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001299305
—
CT
Enumeration date
02/09/2006
Last updated
04/27/2018
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