Individual
MR. ROBERT MICHAEL DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, EMT, RN
Contact information
Practice address
8 WEATHERVANE RD, BILLERICA, MA 01821-5658
(781) 696-3538
Mailing address
8 WEATHERVANE RD, BILLERICA, MA 01821-5658
(781) 696-3538
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
842787
MA
163W00000X
Registered Nurse
Primary
269340
MA
2255A2300X
Athletic Trainer
1501
MA
Other
Enumeration date
04/04/2006
Last updated
09/11/2025
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