Individual
ROBERT HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
370 BASSETT RD, NORTH HAVEN, CT 06473-4201
(203) 582-7766
Mailing address
370 BASSETT RD, NORTH HAVEN, CT 06473-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
6797
CT
Other
Enumeration date
07/09/2024
Last updated
11/12/2024
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