Staszewski, Robert

Staszewski, Robert is an individual health care provider with primary practice located at 30 Lancaster Street Suite 400, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Staszewski, Robert can be contacted via phone (617) 722-4100.

Contact Information

Primary practice address
30 Lancaster Street Suite 400 Boston MA 02114
Phone: (617) 722-4100
Fax: (617) 227-1134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 55312 Massachusetts

Profile Details

NPI number 1891785168
LBN Legal business name Staszewski, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891785168 NPPES
Massachusetts Other J11307 BCBS MA
Massachusetts MEDICAID 3079228 BCBS MA
Massachusetts Other 055312 BCBS MA

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