Provider Demographics
NPI:1013941871
Name:HURLEY, ROBERT P (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:HURLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:75 EASTERN POINT RD
Mailing Address - Street 2:DEPARTMENT 644, STATION A97-1
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-4905
Mailing Address - Country:US
Mailing Address - Phone:860-433-1019
Mailing Address - Fax:860-433-0639
Practice Address - Street 1:75 EASTERN POINT RD
Practice Address - Street 2:DEPARTMENT 644, STATION A97-1
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-4905
Practice Address - Country:US
Practice Address - Phone:860-433-1019
Practice Address - Fax:860-433-0639
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA814502083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine