Provider Demographics
NPI:1124175070
Name:LEWIS, ROBERT T (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:T
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 NORTHWESTERN DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3463
Mailing Address - Country:US
Mailing Address - Phone:860-242-8591
Mailing Address - Fax:860-242-2511
Practice Address - Street 1:6 NORTHWESTERN DR
Practice Address - Street 2:SUITE 305
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3463
Practice Address - Country:US
Practice Address - Phone:860-242-8591
Practice Address - Fax:860-242-2511
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-06-29
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Provider Licenses
StateLicense IDTaxonomies
PAMT185871208600000X
PAMD434531208600000X
MN55358208C00000X
CT52312208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery