Provider Demographics
NPI:1265409726
Name:BERLAND, ROBERT H (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:BERLAND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 WELLS ST
Mailing Address - Street 2:SUITE1B
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-2928
Mailing Address - Country:US
Mailing Address - Phone:860-278-8937
Mailing Address - Fax:860-244-2452
Practice Address - Street 1:100 WELLS ST
Practice Address - Street 2:SUITE1B
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-2928
Practice Address - Country:US
Practice Address - Phone:860-278-8937
Practice Address - Fax:860-244-2452
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2011-03-09
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Provider Licenses
StateLicense IDTaxonomies
CT132922084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB38630Medicare UPIN
CT130000048Medicare PIN