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NPI Code Detail

MEDICARE: DR. ROBERT GIRSCHEK DMD

MEDICARE:  DR. ROBERT  GIRSCHEK  DMD
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
11223G0001XGeneral Practice Dentistry18109MA

General Provider Information

NPI Number : 1902994155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT GIRSCHEK DMD
Provider Business Mailing Address
First Line : 879 MAIN ST
Second Line :
City : WALTHAM
State : MA
Zip : 02451-7414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 879 MAIN ST
Second Line :
City : WALTHAM
State : MA
Zip : 02451-7414
Country : US
Telephone Number : 781-899-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT GIRSCHEK DMD” Practice Location

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