Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD10911 | ME |
NPI | 1093063224 |
---|---|
Provider Name | Dr. Robert Swart Hillman |
First Address | Scarborough, ME 04074-9436 |
Second Address | Scarborough, ME 04074-9436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2012 |
Last Update Date | 20/08/2012 |