Search › Connecticut › 101YA0400X
Robert Boback, LADC
NPI 1326716689 · on the registry since 2021 · sole proprietor
Practice
- Address
- 76 Lewis Dr
Fairfield, CT 06825 - Phone
- (203) 694-9895
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut