Healthcare Provider Details

I. General information

NPI: 1356341648
Provider Name (Legal Business Name): ROBERT NAPOLETANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LAKE ST GROVE HILL MEDICAL CENTER
NEW BRITAIN CT
06052-1396
US

IV. Provider business mailing address

300 KENSINGTON AVE GROVE HILL MEDICAL CENTER
NEW BRITAIN CT
06051-3916
US

V. Phone/Fax

Practice location:
  • Phone: 860-826-4457
  • Fax: 860-229-6963
Mailing address:
  • Phone: 860-826-4457
  • Fax: 860-229-6963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number028962
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number028962
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: