Individual
ROBERT KOORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 OLD REDDING RD, REDDING, CT 06896-2201
(203) 224-3081
Mailing address
10 OLD REDDING RD, REDDING, CT 06896-2201
(203) 224-3081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
044260
CT
207L00000X
Anesthesiology Physician
200917-1
NY
207L00000X
Anesthesiology Physician
5888390-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01725644
—
NY
Enumeration date
06/24/2005
Last updated
03/20/2009
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