Individual
DR. ROBERT MAIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
314 BEACON ST, #2, BOSTON, MA 02116-1138
(617) 536-7135
Mailing address
314 BEACON ST, #2, BOSTON, MA 02116-1138
(617) 536-7135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53392
MA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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