Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 78768 | MA |
N | 2080N0001X | Neonatal-Perinatal Doctor | 78768 | MA |
NPI | 1144210311 |
---|---|
Provider Name | Dr. Robert Mark Insoft |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
078768 | TUFTS HEALTH PLAN (01) | MA |
3123588 | (05) | MA |
F18027 | (02) | |
J30436 | BCBS (01) | MA |