Individual
DR. ROBERT J OUELLETTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
156 FARMINGTON AVE, BRISTOL, CT 06010-4218
(860) 583-2108
(860) 583-5487
Mailing address
156 FARMINGTON AVE, BRISTOL, CT 06010-4218
(860) 583-2108
(860) 583-5487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
025570
CT
207W00000X
Ophthalmology Physician
Primary
025570
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255702
—
CT
Enumeration date
05/08/2006
Last updated
10/18/2007
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