Provider Demographics
NPI:1093278590
Name:LA PERLA, ROBERT MATTHEW JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MATTHEW
Last Name:LA PERLA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8082
Mailing Address - Country:US
Mailing Address - Phone:860-679-2784
Mailing Address - Fax:860-679-3145
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:860-679-8080
Practice Address - Fax:860-679-1420
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2024-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT794162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology