Individual
DR. ROBERT JOSEPH BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 MANSFIELD AVE, PULMONARY DEPT., HATCH WING, WILLIMANTIC, CT 06226-2041
(860) 456-7279
(860) 450-0269
Mailing address
112 MANSFIELD AVE, PULMONARY DEPT., HATCH WING, WILLIMANTIC, CT 06226-2041
(860) 456-7279
(860) 450-0269
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25147
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001251479
—
CT
01
—
1962400630
NPI
CT
Enumeration date
07/07/2005
Last updated
01/27/2015
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