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Individual

ROBERT CHERNACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6220
(617) 629-6248
Mailing address
147 MILK ST, BOSTON, MA 02109-4806

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
52333
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014437
NHP
MA
01
052333
TUFTS
MA
05
3178854
MA
01
6239385-002
CIGNA
MA
01
J11781
BCBS
MA
01
PB222
HPHC
MA
Enumeration date
12/26/2006
Last updated
06/08/2011
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