Healthcare Provider Details
I. General information
NPI: 1093700643
Provider Name (Legal Business Name): ROBERT DOWSETT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 09/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
80 SEYMOUR ST
HARTFORD CT
06102-8000
US
IV. Provider business mailing address
4 LANGLEY PARK
FARMINGTON CT
06030-0001
US
V. Phone/Fax
- Phone: 860-545-2803
- Fax: 860-545-1500
- Phone: 860-676-8284
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 027532 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: