Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 033085 | MA |
NPI | 1598715195 |
---|---|
Provider Name | Dr. Robert H Parlee |
First Address | Lewiston, ME 04241-1849 |
Second Address | Boston, MA 02124-5615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 29/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2025566 | (05) | MA |
300042887 | RR MEDICARE (01) | MA |
B97292 | (02) | MA |
DSHS 2025566 | (05) | MA |