Individual
DR. ROBERT GENNARO BRANCALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3101
(781) 337-4224
(781) 335-0429
Mailing address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3101
(781) 337-4224
(781) 335-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37435
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037435
TUFTS
MA
05
—
2080958
—
MA
01
—
275190
HARVARD PILGRIM
MA
01
—
37766
FALLON
MA
01
—
C27081
BLUE SHIELD
MA
Enumeration date
12/22/2005
Last updated
11/02/2007
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