Healthcare Provider Details

I. General information

NPI: 1972738383
Provider Name (Legal Business Name): ROBERT F. MAIER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ROBERT ST
SOMERS CT
06071
US

IV. Provider business mailing address

9 ROBERT ST.
SOMERS CT
06071
US

V. Phone/Fax

Practice location:
  • Phone: 860-749-0656
  • Fax:
Mailing address:
  • Phone: 860-749-0656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number011769
License Number StateCT

VIII. Authorized Official

Name: ROBERT FRITZ MAIER
Title or Position: PRESIDENT
Credential: MD
Phone: 860-749-0656