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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. You can also correspond with Robert Christopher Scalise through the mailing address at 1 WAHOO DRIVE, GROTON, CT - 06349 (mailing address contact number: 860-694-4910).

Location: 59 Sequin Dr, Groton, CT, 06349
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Provider Profile Details
NPI Number
1700340106
Provider Name
Robert Christopher Scalise
Credential
DO
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
5101018005 01 MI MICHIGAN STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
59 Sequin Dr
City
State
Zip
06340-5510
Phone Number
619-882-9148
Fax Number
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Provider Business Mailing Address Details
Address
59 Sequin Dr
City
State
Zip
06340-5510
Phone Number
619-882-9148
Fax Number
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Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
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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