Individual
DR. ROBERT LOUIS DEBERNARDO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
15 ESSEX LN, TRUMBULL, CT 06611-1005
(203) 522-7249
Mailing address
15 ESSEX LN, TRUMBULL, CT 06611-1005
(203) 522-7249
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
015004
CT
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
015004
CT
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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