Individual
DR. ROBERT LEGRANDE VANUITERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
01/10/2007
Last updated
07/08/2007
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