Dr. Robert Arthur Woodbury
Dermatologist
1200 E Putnam Ave
Riverside
, Connecticut 06878-1430
Dr. Robert Arthur Woodbury
Dermatologist
1200 E Putnam Ave
Riverside
, Connecticut 06878-1430
(203) 637-6739
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Robert Arthur Woodbury
- 1200 E Putnam Ave
- Riverside, CT
- Zip : 06878-1430
- Fax : (203) 637-6739
- Phone : (203) 637-8114
Second Address
- Dr. Robert Arthur Woodbury
- 1200 E Putnam Ave
- Riverside, CT
- Zip : 06878-1430
- Fax : (203) 637-6739
- Phone : (203) 637-8114
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 032901 | CT |
National Provider Identifier
| NPI | 1033323258 |
|---|---|
| Provider Name | Dr. Robert Arthur Woodbury |
| First Address | Riverside, CT 06878-1430 |
| Second Address | Riverside, CT 06878-1430 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F10256 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.