Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 78306 | MA |
NPI | 1013942002 |
---|---|
Provider Name | Robert J Austin |
First Address | Greenfield, MA 01301 |
Second Address | Greenfield, MA 01301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/08/2011 |