| Doctor Name: | ROBERT ANGELO BRENES |
| NPI Number: | 1235398611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 52482 |
| Business Practice Address: | 4 Research Pkwy Wallingford, CT - 064921929 |
| Business Phone Number: | 2035986045 |
| Business Fax Number: | 2038790834 |
| Mailing Address: | 4 Research Pkwy, WALLINGFORD |
| State: | CT |
| Postal Code: | 064921929 |
| Phone Number: | 2035986045 |
| Fax Number: | 2038790834 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 52482 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |