Individual
DANIELLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2160
Mailing address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
65441
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
05/19/2020
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