Provider Demographics
NPI:1144360629
Name:SICA, ROBBAN ARIEL (MD)
Entity type:Individual
Prefix:DR
First Name:ROBBAN
Middle Name:ARIEL
Last Name:SICA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 110172
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-0172
Mailing Address - Country:US
Mailing Address - Phone:203-799-7733
Mailing Address - Fax:203-987-4853
Practice Address - Street 1:C/O WEST PORT INTEGRATIVE MEDICINE, LLC SUITE 100
Practice Address - Street 2:1 TURKEY HILL ROAD SOUTH
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880
Practice Address - Country:US
Practice Address - Phone:203-799-7733
Practice Address - Fax:203-987-4853
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2024-07-20
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Provider Licenses
StateLicense IDTaxonomies
CT026453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB84474Medicare UPIN