NPI 1104010784 · live from the CMS NPI Registry
Robert Blouin, M.D.
Anesthesiology in Waterbury, CT. National Provider Identifier 1104010784, active.
NPI record
| NPI | 1104010784 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 160 Robbins St, Waterbury, CT 06708 |
| Practice phone | 203-755-6663 |
| Mailing address | 130 Old Post Rd, Southport, CT 06890 |
| Enumerated | August 28, 2007 |
| Last updated | October 3, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 030815 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.