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Individual

MR. ROBERT M KIDNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 MAIN ST, STONEHAM, MA 02180-1252
(781) 438-9208
(781) 438-4234
Mailing address
225 MAIN ST, STONEHAM, MA 02180-1252

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19913
MA

Other

Enumeration date
09/13/2011
Last updated
09/13/2011
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