Organization
ROBERT L. VAN UITERT, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEGRANDE VAN UITERT M.D. (PRESIDENT)
(413) 664-6321
Entity
Organization
Contact information
Practice address
77 HOSPITAL AVE, SUITE 202, NORTH ADAMS, MA 01247-2550
(413) 664-6321
(413) 663-9208
Mailing address
77 HOSPITAL AVE, SUITE 202, NORTH ADAMS, MA 01247-2550
(413) 664-6321
(413) 663-9208
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
45570
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140554
—
MA
Enumeration date
03/27/2007
Last updated
03/17/2010
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