Individual
MR. ROBERT M SPITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
22751
CT
207VG0400X
Gynecology Physician
Primary
22751
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001227511
—
CT
01
—
001227511-00
BLUE CROSS FAMILY PLAN
CT
01
—
010022751CT02
ANTHEM BLUE CROSS
CT
01
—
030641
HEALTHNET
CT
01
—
0467494
AETNA
CT
01
—
160014097
RAILROAD MEDICARE
CT
01
—
603336
CONNECTICARE
CT
01
—
P368544
OXFORD
CT
Enumeration date
11/17/2005
Last updated
09/14/2011
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