Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 32897 | MA |
N | 208D00000X | General Practice Physician | 32897 | MA |
NPI | 1235165291 |
---|---|
Provider Name | Dr. Robert Barry Downes |
First Address | Natick, MA 01760-1332 |
Second Address | Natick, MA 01760-1332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 03/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D88157 | (02) |