Individual
MR. ROBERT SCOTT DESHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
725 ALBANY ST, SUITE 3B, UROLOGY DEPT, BOSTON, MA 02118
(617) 638-8485
(617) 414-7372
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1417
NH
363A00000X
Physician Assistant
Primary
PA101824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861606220
—
MI
Enumeration date
05/09/2007
Last updated
01/05/2026
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