Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 238256 | MA |
N | 207U00000X | Nuclear Medicine Specialist | MD12997 | RI |
NPI | 1033364336 |
---|---|
Provider Name | Dr. Robert Joseph Markelewicz JR. |
First Address | Wellesley, MA 02481-4800 |
Second Address | Wellesley, MA 02481-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2008 |
Last Update Date | 18/07/2014 |