Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | R8716 | IA |
NPI | 1053547646 |
---|---|
Provider Name | Dr. Robert W Eppsteiner |
First Address | Spingfield, MA 01107 |
Second Address | Spingfield, MA 01107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2009 |
Last Update Date | 17/10/2016 |