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Individual

ROBERT E. CREUTZ SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 SALEM TPKE, NORWICH, CT 06360-7403
(860) 425-8740
(860) 823-1687
Mailing address
112 LAFAYETTE STREET, NORWICH, CT 06360
(860) 425-8715
(860) 425-8707

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017274
CT
208000000X
Pediatrics Physician
017274
CT

Other

Enumeration date
07/19/2011
Last updated
05/31/2012
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