Provider Demographics
NPI:1164445847
Name:DAWE, ROBERT V (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:V
Last Name:DAWE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:305 BLACK ROCK TPKE
Mailing Address - Street 2:OSG
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-5508
Mailing Address - Country:US
Mailing Address - Phone:203-337-2600
Mailing Address - Fax:203-337-2666
Practice Address - Street 1:305 BLACK ROCK TPKE
Practice Address - Street 2:OSG
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-5508
Practice Address - Country:US
Practice Address - Phone:203-337-2600
Practice Address - Fax:203-337-2666
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2017-03-29
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Provider Licenses
StateLicense IDTaxonomies
CT022016207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0085213OtherAETNA
CT06-0868382OtherNEHCA HMC/PPO
CTZS308OtherOXFORD HEALTH PLANS
CT06-0868382OtherNATIONAL PROVIDER NETWORK
CT000518OtherHEALTH NET
CT010033016CT01OtherANTHEM BC/BS
CT06-0868382OtherGREAT WEST
CT06-0868382OtherCORVEL
CT06-0868382OtherORTHONET
CT060868382-012OtherCIGNA
CT06-0868382OtherFIRST HEALTH / CCN
CT06-0868382OtherPIONEER
CT06-0868382OtherPOMCO
CT0H0951 (2) (3)OtherEMPIRE BC/BS
CT522016OtherCONNECTICARE
CT06-0868382OtherNORTHEAST HEALTH DIRECT
CT06-0868382OtherUNITED HEALTHCARE
CT06-0868382OtherFIRST HEALTH / CCN