Individual
DR. ROBERT K GEDACHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MLK JR BLVD, 2ND FL, WORCESTER, MA 01608-1220
(508) 757-1589
(508) 757-5633
Mailing address
100 MLK JR BLVD, 2ND FL, WORCESTER, MA 01608-1220
(508) 757-1589
(508) 757-5633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11592
NH
207KA0200X
Allergy Physician
Primary
31591
MA
207RP1001X
Pulmonary Disease Physician
31591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197203
—
MA
Enumeration date
09/12/2006
Last updated
09/22/2010
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