Individual
ROBERTA LEIGH HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH TOMPKINS BUILDING - 3RD FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-2802
(203) 785-6664
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
024033
CT
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
024033
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001240332
—
CT
Enumeration date
11/17/2005
Last updated
07/08/2008
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