Robert Dave Auerbach, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Madison, CT
NPI 1386897007 · NPPES record last updated Oct 25, 2008
Key facts
- NPI
- 1386897007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 027379 (CT)
- Practice address
- 29 Kimberly LN
Madison, CT 06443-2080 - Phone
- (203) 245-4063
- NPI assigned
- Oct 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027379 | CT | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 027379 | CT | Yes |
Addresses
Primary practice location
29 Kimberly LN
Madison, CT 06443-2080
Mailing address
29 Kimberly LN
Madison, CT 06443-2080
Phone (203) 245-4063
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All providers in Madison, CT · Obstetrics & Gynecology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.