Provider Demographics
NPI:1841283736
Name:LINDEN, ROBERT A (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:LINDEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 COLUMBUS AVENUE
Mailing Address - Street 2:CREDENTIALING SPECIALIST
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1233
Mailing Address - Country:US
Mailing Address - Phone:203-503-3174
Mailing Address - Fax:203-503-3183
Practice Address - Street 1:150 SARGENT DRIVE
Practice Address - Street 2:CORNELL SCOTT-HILL HEALTH CENTER AT SARGENT DRIVE
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6100
Practice Address - Country:US
Practice Address - Phone:203-503-3000
Practice Address - Fax:203-503-3224
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2020-12-11
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Provider Licenses
StateLicense IDTaxonomies
CT20192207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010020192CT01OtherBC/BS
CT1201920Medicaid
CT030010OtherHEALTHNET
CTB37887Medicare UPIN
CT1201920Medicaid