Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 036.130277 | IL |
Y | 207P00000X | Emergency Physician | 050264 | CT |
NPI | 1003078072 |
---|---|
Provider Name | Dr. Robert R Turelli JR. |
First Address | Chicago, IL 60611-2908 |
Second Address | New Haven, CT 06510-3220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 16/08/2012 |