Individual
ROBYN LEE BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
13 BRADLEE RD, MEDFORD, MA 02155-3110
(781) 395-1110
(781) 395-8553
Mailing address
13 BRADLEE RD, MEDFORD, MA 02155-3110
(781) 395-1110
(781) 395-8553
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
194216
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J10473
MEDICAIRE
MA
Enumeration date
03/24/2008
Last updated
03/24/2008
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