Provider Demographics
NPI:1275575995
Name:BRAMMER, ROBIN M (DO)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:BRAMMER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:234 BROAD ST
Mailing Address - Street 2:MILFORD PHYSICIAN SERVICES PC
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460
Mailing Address - Country:US
Mailing Address - Phone:203-877-3728
Mailing Address - Fax:203-877-1614
Practice Address - Street 1:234 BROAD ST
Practice Address - Street 2:MILFORD PHYSICIAN SERVICES PC
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460
Practice Address - Country:US
Practice Address - Phone:203-877-3728
Practice Address - Fax:203-877-1614
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT040465207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001404657Medicaid
CT001404657Medicaid
CTH62780Medicare UPIN
CTB83488Medicare UPIN