Individual
ROBERT MALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
253 PLEASANT LAKE AVE STE 200, HARWICH, MA 02645-2552
(774) 323-7970
Mailing address
569 CROWELLS BOG RD STE 3000, BREWSTER, MA 02631-2562
(774) 323-7970
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
80250
MA
207Q00000X
Family Medicine Physician
Primary
80250
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166651
—
MA
01
—
J17571
BLUE SHIELD
MA
Enumeration date
05/15/2006
Last updated
03/19/2022
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