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Organization

ROBERT C. CANTU MD NEUROLOGICAL SURGERY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT CLARK CANTU MD (OWNER/PRESIDENT)
(978) 369-1386
Entity
Organization

Contact information

Practice address
131 ORNAC, JOHN CUMING BUILDING SUITE 820, CONCORD, MA 01742-4181
(978) 369-1386
(978) 287-0047
Mailing address
131 ORNAC, JOHN CUMING BUILDING SUITE 820, CONCORD, MA 01742-4181
(978) 369-1386
(978) 287-0047

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28386
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M01876
BLUE CROSS
01
M10876
MEDICARE TYPE UNSPECIFIED
Enumeration date
07/19/2007
Last updated
02/17/2012
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