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NPI Code Detail

MEDICARE: DR. ROBERT BECKWITH STRAUS D.M.H., J.D.

MEDICARE: DR. ROBERT BECKWITH STRAUS D.M.H., J.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist3383MA

General Provider Information

NPI Number : 1578631842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT BECKWITH STRAUS D.M.H., J.D.
Provider Business Mailing Address
First Line : 22 BERKELEY ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-3459
Country : US
Telephone Number : 617-661-9711
Fax Number : 617-868-3408
Provider Business Practice Location Address
First Line : 263 CONCORD AVE
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-1336
Country : US
Telephone Number : 617-661-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2006
Last Update Date : 07/08/2007

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