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Individual
MR. ANDREW JAMES ROBITAILLE
Active
Individual
MR. ANDREW JAMES ROBITAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7924
MA
363AS0400X
Surgical Physician Assistant
1445
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115999
—
NH
Enumeration date
10/30/2018
Last updated
03/18/2021
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