Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 247695 | MA |
N | 111NI0900X | Internist | 247695 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 257541 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 357541 | MA |
NPI | 1003101148 |
---|---|
Provider Name | Dr. Jeremy Michael Robbins |
First Address | Brookline, MA 02446-4511 |
Second Address | Boston, MA 02215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2011 |
Last Update Date | 22/08/2018 |