Healthcare Provider Details

I. General information

NPI: 1124175609
Provider Name (Legal Business Name): ROBERT MILGRAM KLEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 HUNTINGTON AVENUE NORTHEASTERN UNIVERSITY HEALTH AND COUNSELING SERVICES
BOSTON MA
02115-5000
US

IV. Provider business mailing address

2 COURTHOUSE LANE SUITE 3
CHELMSFORD MA
01824
US

V. Phone/Fax

Practice location:
  • Phone: 617-373-2772
  • Fax: 617-373-4142
Mailing address:
  • Phone: 978-275-9444
  • Fax: 978-275-9918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number58699
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: