Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 44143 | MA |
NPI | 1174510135 |
---|---|
Provider Name | Dr. Robert E Byrne |
First Address | Holyoke, MA 01040-5396 |
Second Address | Holyoke, MA 01040-5396 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 16/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0163287 | (05) | MA |
B99560 | (02) |