Individual
DR. MICHAEL ROBERT ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 666-6951
Mailing address
18 TULIP TREE LN, WOODBRIDGE, CT 06525-1415
(203) 387-0910
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
040404
CT
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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