Provider Demographics
NPI:1134123797
Name:DEAL, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:DEAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:115 TECHNOLOGY DR
Mailing Address - Street 2:UNIT A100
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6341
Mailing Address - Country:US
Mailing Address - Phone:203-880-5556
Mailing Address - Fax:203-880-5560
Practice Address - Street 1:999 SILVER LN
Practice Address - Street 2:STE 2A
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5343
Practice Address - Country:US
Practice Address - Phone:203-386-0044
Practice Address - Fax:203-377-4156
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2021-06-29
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Provider Licenses
StateLicense IDTaxonomies
CT033470207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTF76270Medicare UPIN