Individual
ROBIN LIBERTY TRAVERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1244 BOYLSTON ST, SUITE 302, CHESTNUT HILL, MA 02467-2116
(617) 731-1600
(617) 731-1601
Mailing address
1244 BOYLSTON ST, SUITE 302, CHESTNUT HILL, MA 02467-2116
(617) 731-1600
(617) 731-1601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
154067
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010506
NHP
—
01
—
0300049
UNITED
—
01
—
154067
TUFTS
—
01
—
2694770
AETNA
—
01
—
401166
HARVARD PILGRIM
—
01
—
6692063001
CIGNA
—
01
—
J17541
BLUE SHIELD
MA
Enumeration date
03/15/2006
Last updated
07/08/2007
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