=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740294214
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT DOUGLAS SIGADEL MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 N FRONT ST HIGH POINT TREATMENT CENTER
-----------------------------------------------------
City | NEW BEDFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02740-7350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-992-1500
-----------------------------------------------------
Fax | 774-628-7077
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27 SUMNER ST
-----------------------------------------------------
City | MILTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02186
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-696-8776
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 49345
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------