Individual
ROBERT B WILSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 BRAMBLEBUSH PARK, FALMOUTH, MA 02540-2325
(508) 548-9423
(508) 548-5239
Mailing address
5 BRAMBLEBUSH PARK, FALMOUTH, MA 02540-2325
(508) 548-9423
(508) 548-5239
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
80345
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029156
BMC HEALTHNET
—
01
—
043464579
STANDARD TAX ID NO
—
01
—
080345
TUFTS HEALTH PLAN
—
01
—
0900520
UNITED HEALTHCARE
—
01
—
103249400
OWCP
MA
01
—
171098
HARVARD PILGRIM
—
01
—
200037348
RR MEDICARE
—
05
—
3131581
—
MA
01
—
B20808901
CIGNA
—
01
—
J14844
BLUE SHIELD NO
MA
Enumeration date
06/29/2006
Last updated
07/11/2016
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