Provider Demographics
NPI:1699007955
Name:APPLEBY, ROBIN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:PAUL
Last Name:APPLEBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBIN
Other - Middle Name:PAUL
Other - Last Name:APPLEBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1 APPLEBY FARM RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-1147
Mailing Address - Country:US
Mailing Address - Phone:203-775-6611
Mailing Address - Fax:
Practice Address - Street 1:1 APPLEBY FARM RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-1147
Practice Address - Country:US
Practice Address - Phone:203-775-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT024370174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist