Individual
DR. W ROBERT PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 WASHINGTON ST, NORWELL, MA 02061-9147
(781) 878-5200
(781) 681-9901
Mailing address
75 WASHINGTON ST, NORWELL, MA 02061-9147
(781) 878-5200
(781) 681-9901
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30159
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030159
TUFTS
—
01
—
042297845
DOC FIRST
MA
01
—
1801887849
MEDICARE
MA
01
—
1801887849
FALLON
—
05
—
1801887849
—
MA
01
—
20882
HARVARD PILGRIM
—
01
—
4218630
AETNA
—
01
—
B10381301
CIGNA
—
Enumeration date
10/31/2005
Last updated
01/03/2011
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