Individual
DR. ROBERT C MARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
10 CHESTNUT STREET, NEEDHAM, MA 02492
(781) 449-1143
(781) 449-5992
Mailing address
10 CHESTNUT STREET, NEEDHAM, MA 02492
(781) 449-1143
(781) 449-5992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006095
TUFTS
—
01
—
085675
VALUE OPTIONS
—
01
—
W04958
BCBS
—
Enumeration date
11/14/2006
Last updated
02/26/2020
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