Robert Jeresaty, M.D.

Individual Deactivated
NPI 1821003633
Specialist Hartford, CT

Robert Jeresaty, M.D. holds NPI 1821003633, with a primary taxonomy of specialist and a practice location in Hartford, CT. The number was issued on July 30, 2006 and the NPPES record was last updated on August 9, 2026. This NPI was deactivated on September 24, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X 010440 (CT)

Practice location

114 Woodland St
Hartford, CT 06105-1208
Phone: (860) 714-4820

Record history

Name on record
Dr. Robert M. Jeresaty
Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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