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NPI Code Detail

MEDICARE: ROBERT CHRISTOPHER HERRON MD

MEDICARE: ROBERT CHRISTOPHER HERRON MD
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
1207Q00000XFamily Medicine Physician154560MA
2207Q00000XFamily Medicine Physician10047NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922060631
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT CHRISTOPHER HERRON MD
Provider Business Mailing Address
First Line : 140 HAVERHILL ST
Second Line :
City : ANDOVER
State : MA
Zip : 01810-1550
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 140 HAVERHILL ST
Second Line :
City : ANDOVER
State : MA
Zip : 01810-1504
Country : US
Telephone Number : 978-470-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 02/17/2015

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Directions to “ ROBERT CHRISTOPHER HERRON MD” Practice Location

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