Individual
ROBERT GENDREAU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 OAKWOOD AVE, WEST HARTFORD, CT 06119-2141
(415) 515-9734
Mailing address
173 OAKWOOD AVE, WEST HARTFORD, CT 06119-2141
(415) 515-9734
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000626
CT
Other
Enumeration date
02/23/2015
Last updated
07/30/2015
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