# ROBERT L. D'AGOSTINO, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891983300
- **Authorized official:** DR. ROBERT LEE D'AGOSTINO MD (PRESIDENT)
- **Authorized official phone:** (781) 828-5080

## Contact information

- **Practice address:** 40 REVERE ST, CANTON, MA 02021-2923
- **Practice address phone:** (781) 828-5080
- **Mailing address:** 40 REVERE ST, CANTON, MA 02021-2923
- **Mailing address phone:** (781) 828-5080
- **Mailing address fax:** (781) 828-7685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 44663 | MA | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 02/28/2008