Individual
ROBERT JAMES GAGNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 PRECINCT ST, LAKEVILLE, MA 02347-1427
(508) 947-6666
(508) 923-0060
Mailing address
17 SHERWOOD LN, LAKEVILLE, MA 02347-2240
(508) 947-8243
(508) 923-0060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81226
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143961
—
MA
Enumeration date
02/02/2006
Last updated
07/08/2007
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