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Individual

ROBERT GENDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5556
Mailing address
1 LIBERTY SQ, PO BOX 217, NEW BRITAIN, CT 06050-0217
(860) 827-0071
(860) 229-5642

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
032738
CT
2085R0204X
Vascular & Interventional Radiology Physician
032738
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001327388
CT
Enumeration date
12/28/2005
Last updated
06/22/2015
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