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Individual

ROBERT S. ADAMENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 WESTERN BLVD, SUITE 102, GLASTONBURY, CT 06033-1259
(860) 633-9235
Mailing address
290 WESTERN BLVD, GLASTONBURY, CT 06033-1236
(860) 633-9235

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038613
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001386136
CT
Enumeration date
02/07/2006
Last updated
11/20/2013
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