Individual
ROBERT J BANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 WASHINGTON ST UNIT 1B, WELLESLEY HILLS, MA 02481-1752
(617) 219-6300
(617) 219-6355
Mailing address
25 WASHINGTON ST UNIT 1B, WELLESLEY HILLS, MA 02481-1752
(617) 219-6300
(617) 219-6355
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
59668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043053
—
MA
Enumeration date
08/12/2005
Last updated
10/25/2022
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