MEDICARE: ROBERT D. MARKOWITZ, D.D.S.,P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	4885	CT

General Provider Information

NPI Number	:	1881611432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT D. MARKOWITZ, D.D.S.,P.C.

Provider Business Mailing Address
First Line	:	3715 MAIN ST
Second Line	:	#303
City	:	BRIDGEPORT
State	:	CT
Zip	:	06606-3618
Country	:	US
Telephone Number	:	203-368-2280
Fax Number	:	203-371-1066

Provider Business Practice Location Address
First Line	:	3715 MAIN ST
Second Line	:	#303
City	:	BRIDGEPORT
State	:	CT
Zip	:	06606-3618
Country	:	US
Telephone Number	:	203-368-2280
Fax Number	:	203-371-1066

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT D. MARKOWITZ
Credential	:	D.D.S.
Telephone Number	:	203-368-2280

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	03/19/2013

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