Individual
MR. ROBERT JOHN DEBORTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 767-2847
Mailing address
259 HERSOM ST, NEW BEDFORD, MA 02745-5819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86812
MA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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