NPI 1073630067

John L Robertson, PA

Practitioner Physician Assistant Torrington, CT

Practice location

Address: 333 Kennedy Dr Suite 202, Torrington, CT 06790-3060
Phone: (615) 778-4066
Mailing address: 720 Cool Springs Blvd Suite 300, Franklin, TN 37067-2626

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 000126 (CT)

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Registry record

NPI: 1073630067
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.