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NPI Code Detail

MEDICARE: DR. THOMAS CHARLES ROBALLEY D.C.

MEDICARE:  DR. THOMAS CHARLES ROBALLEY  D.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
1111NX0800XOrthopedic Chiropractor894CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
205-0000-894-CT03OTHERCTBLUE CROSS PROVIDER I.D.

General Provider Information

NPI Number : 1285727313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS CHARLES ROBALLEY D.C.
Provider Business Mailing Address
First Line : 6515 MAIN ST STE 8
Second Line :
City : TRUMBULL
State : CT
Zip : 06611-1388
Country : US
Telephone Number : 203-268-0035
Fax Number : 203-268-0046
Provider Business Practice Location Address
First Line : 6515 MAIN ST STE 8
Second Line :
City : TRUMBULL
State : CT
Zip : 06611-1388
Country : US
Telephone Number : 203-268-0035
Fax Number : 203-268-0046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 04/22/2025

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Directions to “ DR. THOMAS CHARLES ROBALLEY D.C.” Practice Location

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