Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PD 2112 | MA |
NPI | 1225198906 |
---|---|
Provider Name | Dr. Robert W Uhrich |
First Address | Marblehead, MA 01945-2372 |
Second Address | Marblehead, MA 01945-2372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 17/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0310930 | (05) | MA |
U42211 | (02) |