Individual
ROBERT TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 KINGSTOWN WAY, DUXBURY, MA 02332-4647
(781) 585-5561
Mailing address
79 WEBB ST, WEYMOUTH, MA 02188-2738
(617) 688-3067
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2273463
MA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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