Individual
ROBERT W. AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
474 MAIN ST, GREENFIELD, MA 01301-3315
(413) 774-3077
(413) 774-3077
Mailing address
474 MAIN ST, GREENFIELD, MA 01301-3315
(413) 774-3077
(413) 774-3077
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41366
MA
207N00000X
Dermatology Physician
6631
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161918
—
MA
Enumeration date
09/30/2005
Last updated
03/15/2010
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