Individual
ROBERT S WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 SYLVAN ST, SUITE B-102, DANVERS, MA 01923-2763
(978) 774-7566
(781) 373-6690
Mailing address
75 SYLVAN ST, SUITE B-102, DANVERS, MA 01923-2763
(978) 774-7566
(781) 373-6690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
161223
MA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
161223
MA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
161223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018239800004
—
PA
01
—
0066867000
IBC - PC/KHPE
PA
01
—
0182398003
AMERICHOICE (UHC MA PLAN)
PA
01
—
051947
HIGHMARK BLUE SHIELD
PA
01
—
080182395
RRM
PA
01
—
10938422
CAQH ID#
PA
01
—
1164025
KEYSTONE MERCY
PA
01
—
17713-MD066169L
HEALTH PARTNERS
PA
01
—
2512098
AETNA HMO
PA
01
—
4519969
CIGNA HMO/PPO
PA
01
—
7260205
AETNA PPO
PA
01
—
9402714
PHCS
PA
Enumeration date
06/12/2006
Last updated
10/12/2016
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