Organization
ROBERT M SPITZ ,MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M SPITZ MD (OWNE)
(860) 442-9646
Entity
Organization
Contact information
Practice address
342 MONTAUK AVE, NEW LONDON, CT 06320-4706
(860) 442-9646
(860) 439-0747
Mailing address
342 MONTAUK AVE, NEW LONDON, CT 06320-4706
(860) 442-9646
(860) 439-0747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004216356
—
CT
01
—
50RMSPITZCT01
ANTHEM BLUE COSS
CT
01
—
DG6347
RAILROAD MEDICARE
CT
Enumeration date
12/12/2006
Last updated
05/23/2008
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