Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 288286 | MA |
Y | 213ES0000X | Sports Medicine | 288286 | MA |
NPI | 1407201817 |
---|---|
Provider Name | Robert Jan Gapinski |
First Address | Plymouth, MA 02360-7318 |
Second Address | Plymouth, MA 02360-7318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2016 |
Last Update Date | 17/11/2021 |