Individual
DR. ROBERT ARTHUR NOVELLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND 2, BOSTON, MA 02114-2621
(617) 726-3050
(617) 726-3634
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-3051
(617) 724-7140
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32631
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032631
TUFTS HEALTH PLAN
MA
05
—
2026287
—
MA
01
—
M08612
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
08/21/2012
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