BRUCE STROBER (NPI# 1619966652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619966652 |
| Entity Type | Individual |
| Full Name | BRUCE STROBER |
| Credential | M.D. |
| Practice Address |
1 Willowbrook Rd Ste 2 Cromwell CT 06416-1745 |
| Practice Telephone | 8603222222 |
| Practice Fax Number | 8603226838 |
| Mailing Telephone | 8603222222 |
| Mailing Fax Number | 8603226838 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 049812 | CT | Allopathic & Osteopathic Physicians |
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
049812 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT LICENSE | 049812 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Knotter Drive, Southington, CT 06489 | 8604002000 | 8604003000 |
| 1 Willowbrook Rd Ste 2, Cromwell, CT 064161745 | 8663222222 | 8603226838 |
| Street Address |
1 WILLOWBROOK RD STE 2 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681064 | James D Whalen | Dermatology | 1 Willowbrook Rd Ste 2, Cromwell, CT 06416 | 2005-07-01 |
| 1407313984 | Central Connecticut Dermatology, Pllc | Dermatology | 1 Willowbrook Rd Ste 2, Cromwell, CT 06416-1745 | 2019-02-21 |
| 1790075752 | Mona Shahriari | Dermatology | 1 Willowbrook Rd Ste 2, Cromwell, CT 06416-1745 | 2011-04-12 |
| 1437310869 | Justin J Finch | Dermatology | 1 Willowbrook Rd Ste 2, Cromwell, CT 06416-1745 | 2008-06-18 |
| 1164681573 | Amy Yuntzu-yen Chen | Dermatology | 1 Willowbrook Rd Ste 2, Cromwell, CT 06416-1745 | 2008-06-02 |
| 1467488510 | Hanspaul S Makkar | Dermatology | 1 Willowbrook Rd Ste 2, Cromwell, CT 06416-1745 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407718 | Mary W Chang | Dermatology | 65 Memorial Rd, Suite 450, West Hartford, CT 06107-2434 | 2005-06-17 |
Please comment or provide details below to improve the information on BRUCE STROBER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.