Robert Christopher Scalise, DO - Groton, CT

Robert Christopher Scalise, DO

Military Health Care Provider in Groton, Connecticut

NPI 1700340106

Robert Christopher Scalise is a Military Health Care Provider based in Groton, CT. Robert Christopher Scalise practices in Groton, CT and has the professional credentials of DO. The NPI Number for Robert Christopher Scalise is 1700340106 and holds a License No. 5101018005 (Connecticut).

The current practice location address for Robert Christopher Scalise is 59 Sequin Dr, Groton, CT and can be reached out via phone at 619-882-9148.

Location: 59 Sequin Dr, Groton, CT, 06349

NPI Number

1700340106

Provider Name

Robert Christopher Scalise

Credential

Provider Entity Type

Individual

Gender

Male

Address

59 Sequin Dr, Groton, CT, 06349

Phone Number

619-882-9148

Fax Number

Provider Enumeration Date

01/30/2019

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
5101018005	01	MI	MICHIGAN STATE MEDICAL LICENSE

Address

59 Sequin Dr

City

Groton

State

Connecticut

Zip

06340-5510

Phone Number

619-882-9148

Fax Number

Address

59 Sequin Dr

City

Groton

State

Connecticut

Zip

06340-5510

Phone Number

619-882-9148

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

5101018005 (Michigan)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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