Individual
DR. ROBERT B PORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 HEARTHSTONE PL, ANDOVER, MA 01810-5421
(978) 470-3178
(978) 475-0502
Mailing address
6 HEARTHSTONE PL, ANDOVER, MA 01810-5421
(978) 470-3178
(978) 475-0502
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
15846
NH
2084P0805X
Geriatric Psychiatry Physician
Primary
53057
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122499
—
NY
05
—
3022056
—
MA
01
—
53057
MASS REGISTRATION
MA
Enumeration date
01/03/2006
Last updated
11/05/2020
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