Organization
ROBERT J CHERRY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J CHERRY MD (OWNER)
(508) 765-5055
Entity
Organization
Contact information
Practice address
19 EVERETT ST, SOUTHBRIDGE, MA 01550
(508) 765-5055
(508) 765-5099
Mailing address
19 EVERETT ST, SOUTHBRIDGE, MA 01550
(508) 765-5055
(508) 765-5099
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M19179
BLUE SHIELD
MA
Enumeration date
12/27/2006
Last updated
08/22/2020
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