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1700340106
ROBERT CHRISTOPHER SCALISE
GROTON, CT
NPI
1700340106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: MI 5101018005)
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
ROBERT CHRISTOPHER SCALISE DO
59 SEQUIN DR
GROTON, CT 06340-5510
Phone number: 619-882-9148
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Mailing Address
ROBERT CHRISTOPHER SCALISE DO
1 WAHOO DRIVE MEDICAL CLINIC, OCCUPATIONAL HEALTH
GROTON, CT 06349
Phone number: 860-694-4910
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