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NPI Code Detail

MEDICARE: DR. ROBERT WADE CONROY D.O.

MEDICARE: DR. ROBERT WADE CONROY D.O.
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
12084S0012XSleep Medicine (Psychiatry & Neurology) Physician79648MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10003724OTHERMANEIGHBORHOOD HEALTH
2751021OTHERMATUFTS/SECURE HORIZON
3024037OTHERMABMC HEALTHNET
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
59046461001OTHERMACIGNA
6J14566OTHERMAHMO BLUE
7043402250OTHERMATAX IDENTIFICATION
8M16840OTHERMABCBS
911965OTHERMAHARVARD PILGRIM
1005-00067OTHERMAUNITED HEALTH

General Provider Information

NPI Number : 1528062858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT WADE CONROY D.O.
Provider Business Mailing Address
First Line : 535 FAUNCE CORNER RD
Second Line :
City : DARTMOUTH
State : MA
Zip : 02747-1242
Country : US
Telephone Number : 508-996-3991
Fax Number :
Provider Business Practice Location Address
First Line : 535 FAUNCE CORNER RD
Second Line :
City : DARTMOUTH
State : MA
Zip : 02747-1242
Country : US
Telephone Number : 508-996-3991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/24/2023

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