Dr. Robert John Tavares, M.D.
Internal Medicine in Beverly, MA. Individual provider (NPI-1).
NPI number1013278902
StatusActive
Last updated in NPPESJun 24, 2020
Details
- NPI
- 1013278902
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert John Tavares
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2012
- Certification date
- Jun 24, 2020
- Last updated
- Jun 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD16852 | RI | Yes |
| 208M00000X | Hospitalist | 264883 | MA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 252213 | MA |
Practice location
85 Herrick StLahey At Beverly Hospital
Beverly, MA 01915-1790
Phone 978-922-3000 · Fax 978-816-3052
Mailing address
85 Herrick StLahey At Beverly Hospital
Beverly, MA 01915-1790
Phone 978-922-3000 · Fax 978-816-3052
Other practice locations
455 Toll Gate Rd
Warwick, RI 02886-2759
Warwick, RI 02886-2759
Phone 401-737-7010 · Fax 401-736-4546
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