Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 018748 | CT |
NPI | 1023102258 |
---|---|
Provider Name | Mr. Robert S Folman |
First Address | Trumboll, CT 06611 |
Second Address | Trumboll, CT 06611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000193 | HEALTHNER OXFORD (01) | |
00118743 | (05) | CT |
010018748CT01 | ANTHEM (01) | CT |
B39446 | (02) |