Robert John Debortoli
Licensed Practical Nurse in Danvers, MA. Individual provider (NPI-1).
NPI number1548037823
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1548037823
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert John Debortoli
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2023
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN86812 | MA | Yes |
Practice location
75 Lindall StDanvers, MA 01923-2121
Phone 978-767-2847
Mailing address
259 Hersom StNew Bedford, MA 02745-5819
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