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Individual

ROBERT BATES TEBBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
777 NORTH ST, CARDIOLOGY, PITTSFIELD, MA 01201
(413) 395-7580
(413) 499-8539
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201
(413) 447-2752
(413) 496-6836

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1852
MA

Other

Enumeration date
05/23/2006
Last updated
09/28/2010
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