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Individual

ROBERTA WHITE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
720 HARRISON AVE, SUITE 707, BOSTON, MA 02118-2371
(617) 638-8456
(617) 638-8465
Mailing address
720 HARRISON AVE, SUITE 707, BOSTON, MA 02118-2371
(617) 638-8456
(617) 638-8465

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2761
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0509086
MA
Enumeration date
04/07/2006
Last updated
07/08/2007
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