Individual
ROBERT J. TERLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 GREEN ST, SUITE 110, GARDNER, MA 01440-1396
(978) 630-5020
(978) 630-5029
Mailing address
250 GREEN ST, SUITE 110, GARDNER, MA 01440-1396
(978) 630-5020
(978) 630-5029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
73621
MA
207RC0000X
Cardiovascular Disease Physician
Primary
73621
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079830
—
MA
Enumeration date
10/31/2005
Last updated
04/22/2011
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