Provider Demographics
NPI:1982640207
Name:BELL, ROBERT L (M D)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:BELL
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:17 HILLHOUSE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6815
Mailing Address - Country:US
Mailing Address - Phone:203-432-0077
Mailing Address - Fax:203-432-7289
Practice Address - Street 1:1 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2104
Practice Address - Country:US
Practice Address - Phone:908-277-8950
Practice Address - Fax:908-673-7350
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2017-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT040290208600000X
NJ25MA09253500208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H60554Medicare UPIN