Robert Maietta M.D.

NPI 1063620433 - Specialist - 174400000X

NPI Details
NPI 1063620433
Gender Male
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
314 BEACON ST
#2
BOSTON MA, 02116-1138, US
Phone (617) 536-7135
Fax
Business Location
314 BEACON ST
#2
BOSTON MA, 02116-1138, US
Phone (617) 536-7135
Fax
Toxanomy
Taxonomy Code 174400000X
License State Massachusetts
License Number 53392
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According to our database, Dr. Robert Maietta M.D. NPI is 1063620433, taxonomy code is 174400000X and license number is 53392, license state is located at Massachusetts. Robert Maietta M.D. physically located at 314 Beacon St, Boston MA, 02116-1138. NPI Number Robert Maietta M.D. has the Individual type.

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1063620433 NPI number is provided on an as is basis without warranty of any kind. 1063620433 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Maietta M.D. are for informational purposes only.