Healthcare Provider Details

I. General information

NPI: 1033364336
Provider Name (Legal Business Name): ROBERT JOSEPH MARKELEWICZ JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 WINDEMERE RD
WELLESLEY MA
02481-4800
US

IV. Provider business mailing address

51 WINDEMERE RD
WELLESLEY MA
02481-4800
US

V. Phone/Fax

Practice location:
  • Phone: 401-316-3166
  • Fax:
Mailing address:
  • Phone: 401-316-3166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number238256
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number238256
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207UN0903X
TaxonomyIn Vivo & In Vitro Nuclear Medicine Physician
License Number238256
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number238256
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number238256
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number238256
License Number StateMA
# 7
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number238256
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: