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NPI Code Detail

MEDICARE: DR. ROBERT MICHAEL DOODY D.O.

MEDICARE: DR. ROBERT MICHAEL DOODY D.O.
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
1207L00000XAnesthesiology Physician56122CT

General Provider Information

NPI Number : 1790048346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT MICHAEL DOODY D.O.
Provider Business Mailing Address
First Line : 333 CEDAR ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-2870
Country : US
Telephone Number : 203-384-3801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2012
Last Update Date : 07/20/2020

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Directions to “ DR. ROBERT MICHAEL DOODY D.O.” Practice Location

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