Individual
DR. ROBERT NELSON HYDE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 NEW HAVEN AVE, DERBY, CT 06418-2197
(203) 736-9214
(203) 736-9172
Mailing address
12 ROOSEVELT DR, SEYMOUR, CT 06483-2117
(203) 736-6186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023888
CT
208000000X
Pediatrics Physician
023888
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07D0097603
CLIA
CT
Enumeration date
05/13/2007
Last updated
01/26/2024
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