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Contact Information

ROBERT J BUNDY, MD
112 MANSFIELD AVE
PULMONARY DEPT., HATCH WING
WILLIMANTIC, CT06226-2041
 Phone: 860-456-7279
 Fax: 860-450-0269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT J BUNDY · (Male)

NPI Number 1962400630
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 01/27/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 25147
  • CT Medicaid 001251479
  • CT Other 1962400630 NPI
Hospital affiliation(s)
  • WILLIAM W BACKUS HOSPITAL - (Acute Care)
    326 WASHINGTON ST
    NORWICH, CT 06360
  • WINDHAM COMM MEMORIAL HOSPITAL & HATCH HOSP - (Acute Care)
    112 MANSFIELD AVE
    WILLIMANTIC, CT 06226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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