Provider Demographics
NPI:1386887131
Name:ROBERTS, CHRISTIE DAUBNER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIE
Middle Name:DAUBNER
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTIE
Other - Middle Name:ELISABETH
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:266 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-6706
Mailing Address - Country:US
Mailing Address - Phone:203-270-9000
Mailing Address - Fax:
Practice Address - Street 1:266 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-6706
Practice Address - Country:US
Practice Address - Phone:203-270-9000
Practice Address - Fax:203-270-9001
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT051663207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine