Azrak, Robert

Azrak, Robert is an sole proprietor health care provider with primary practice located at 48 Stanton St , Rockland MA 02370-1824. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Azrak, Robert can be contacted via phone (617) 872-2368.

Contact Information

Primary practice address
48 Stanton St Rockland MA 02370-1824
Phone: (617) 872-2368
Fax: (781) 898-9508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2239 Massachusetts

Profile Details

NPI number 1326032038
LBN Legal business name Azrak, Robert
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Mar 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326032038 NPPES
Massachusetts MEDICAID 0518743

Popular Providers