Individual
ROBIN J BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 NEW LONDON TPKE STE 105, GLASTONBURY, CT 06033-2246
(860) 430-5599
Mailing address
131 NEW LONDON TPKE STE 105, GLASTONBURY, CT 06033-2246
(860) 430-5599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8267
CT
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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