Provider Demographics
NPI:1881745339
Name:TAFURI, ROBERT JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOSEPH
Last Name:TAFURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 ORCHARD ST
Mailing Address - Street 2:402
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5363
Mailing Address - Country:US
Mailing Address - Phone:203-786-5007
Mailing Address - Fax:203-786-5008
Practice Address - Street 1:200 ORCHARD STREET
Practice Address - Street 2:SUITE 402
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3224
Practice Address - Country:US
Practice Address - Phone:203-786-5007
Practice Address - Fax:203-786-5008
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT027231207Q00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB83754Medicare UPIN