Individual
ALEX I ROYTBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 POCAHONTAS DR, WEST HARTFORD, CT 06117-1441
(860) 798-3705
Mailing address
76 POCAHONTAS DR, WEST HARTFORD, CT 06117-1441
(860) 798-3705
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
10.120090
CT
363L00000X
Nurse Practitioner
Primary
10744
CT
Other
Enumeration date
07/02/2022
Last updated
02/13/2023
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