Individual
DR. ROBERT MICHAEL JENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 BROWNS RD, STORRS MANSFIELD, CT 06268-2717
(860) 465-5263
(860) 465-4560
Mailing address
185 BIRCH ST., WILLIMANTIC, CT 06226
(860) 465-5263
(860) 465-4560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038946
CT
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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