Healthcare Provider Details

I. General information

NPI: 1821198789
Provider Name (Legal Business Name): JOSEPH JOHN ROBLES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 GLASTONBURY BLVD STE 202
GLASTONBURY CT
06033-4456
US

IV. Provider business mailing address

2015 SPRING RD STE 300
OAK BROOK IL
60523-3944
US

V. Phone/Fax

Practice location:
  • Phone: 860-652-8400
  • Fax:
Mailing address:
  • Phone: 630-725-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number037949
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: