Provider Demographics
NPI:1265288997
Name:FLECK, ROBERT (MB, BCH, BAO, MRCS)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:FLECK
Suffix:
Gender:M
Credentials:MB, BCH, BAO, MRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ANCHOR BRIDGE 15, AVOCA AVENUE, BLACKROCK, CO DUBLIN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:DUBLIN
Mailing Address - Zip Code:A94A3W8
Mailing Address - Country:IE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ANCHOR BRIDGE 15, AVOCA AVENUE, BLACKROCK, CO DUBLIN
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:DUBLIN
Practice Address - Zip Code:A94A3W8
Practice Address - Country:IE
Practice Address - Phone:353-872-0360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program