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Individual

DR. ROBERT L TADDEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06051-3916
(860) 832-8150
(860) 224-6298
Mailing address
300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06051-3916
(860) 832-8150
(860) 224-6298

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025949
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001259498
CT
05
004215324
CT
01
010025949CT01
BCBS & BCFP ID
CT
01
01025949
CIGNA
CT
01
050481
CONNECTICARE
CT
01
060037
HEALTH NET
CT
01
110071620
RAIL ROAD MEDICARE
CT
01
1255448155
GHMC GROUP NPI ID
CT
01
135758
WELLCARE MEDICARE
CT
01
476780
AETNA
CT
01
P369695
OXFORD
CT
Enumeration date
10/04/2005
Last updated
07/09/2007
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