Individual
ROBERT K FULBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519-1369
(203) 785-2140
(203) 785-6414
Mailing address
300 GEORGE ST, 6TH FLOOR, NEW HAVEN, CT 06511-6624
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
031419
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314195
—
CT
Enumeration date
11/11/2005
Last updated
07/02/2008
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