Young, Robert Henry

Young, Robert Henry is an individual health care provider with primary practice located at 55 Fruit St Wrn 2, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Young, Robert Henry can be contacted via phone (617) 726-8892.

Contact Information

Primary practice address
55 Fruit St Wrn 2 Boston MA 02114-2621
Fax: (617) 726-7474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 44866 Massachusetts

Profile Details

NPI number 1982694550
LBN Legal business name Young, Robert Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 2007 - about 19 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 1982694550 NPPES
Massachusetts MEDICAID 2092247
Massachusetts Other C04984
Massachusetts Other 044866

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