Individual
ROBERT JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
54892
MA
2084P0800X
Psychiatry Physician
Primary
54892
MA
2084P0802X
Addiction Psychiatry Physician
54892
MA
2084P0805X
Geriatric Psychiatry Physician
54892
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110045451A
—
MA
Enumeration date
01/03/2007
Last updated
10/23/2017
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