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Individual

ROBERT S WASKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 N MOUNTAIN RD STE 302, PLAINVILLE, CT 06062-1848
(860) 224-6830
(860) 223-7915
Mailing address
74 BATTERSON PARK RD STE 107, FARMINGTON, CT 06032-2565
(860) 549-8276
(860) 674-8084

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
038742
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5719044
AETNA
CT
01
P2122526
OXFORD
CT
Enumeration date
01/18/2007
Last updated
06/28/2021
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