Provider Demographics
NPI:1689998106
Name:ROBERT E REBER M.D. PC
Entity Type:Organization
Organization Name:ROBERT E REBER M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:REBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-863-4300
Mailing Address - Street 1:77 LAFAYETTE PL
Mailing Address - Street 2:301
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5426
Mailing Address - Country:US
Mailing Address - Phone:203-863-4300
Mailing Address - Fax:203-863-4310
Practice Address - Street 1:77 LAFAYETTE PL
Practice Address - Street 2:301
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5426
Practice Address - Country:US
Practice Address - Phone:203-863-4300
Practice Address - Fax:203-863-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty