Organization
ROBERT R AJELLO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R AJELLO MD (MD SOLE PROPRIETOR)
(413) 773-2840
Entity
Organization
Contact information
Practice address
164 HIGH ST, STE 200, GREENFIELD, MA 01301
(413) 773-2840
(413) 773-2841
Mailing address
PO BOX 920, WILBRAHAM, MA 01095-0920
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76900
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
76900
MA
207RP1001X
Pulmonary Disease Physician
Primary
76900
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
76900
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102386
—
MA
01
—
J13206
BLUE CROSS
MA
Enumeration date
02/06/2006
Last updated
08/19/2008
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