Individual
ROBERT ALLEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 COTTAGE GROVE RD, SUITE A, BLOOMFIELD, CT 06002-3170
(860) 286-0182
(860) 286-7839
Mailing address
421 COTTAGE GROVE RD, SUITE A, BLOOMFIELD, CT 06002-3170
(860) 286-0182
(860) 286-7839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
017732
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017732CT01
ANTHEM/BCBS
CT
Enumeration date
10/31/2005
Last updated
02/11/2013
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