Robert J Willis M.D.

NPI 1164506184 - Pediatrics - 208000000X

NPI Details
NPI 1164506184
Gender Male
Enumeration Date 10/25/2006
Last Updated 11/30/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
77 WINSOR ST
SUITE # 104
LUDLOW MA, 01056-3469, US
Phone (413) 589-9494
Fax
Business Location
77 WINSOR ST
SUITE # 104
LUDLOW MA, 01056-3469, US
Phone (413) 589-9494
Fax
Toxanomy
Taxonomy Code 208000000X
License State Massachusetts
License Number 50650
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According to our database, Robert J Willis M.D. NPI is 1164506184, taxonomy code is 208000000X and license number is 50650, license state is located at Massachusetts. Robert J Willis M.D. physically located at 77 Winsor St, Ludlow MA, 01056-3469. NPI Number Robert J Willis M.D. has the Individual type.

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1164506184 NPI number is provided on an as is basis without warranty of any kind. 1164506184 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J Willis M.D. are for informational purposes only.