Individual
SCOTT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 HOWARD AVE # 3, NEW HAVEN, CT 06519-1304
(203) 785-3561
Mailing address
789 HOWARD AVE # 3, NEW HAVEN, CT 06519-1304
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
65022
CT
390200000X
Student in an Organized Health Care Education/Training Program
4301105699
MI
Other
Enumeration date
06/06/2014
Last updated
06/22/2020
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