Colgrove, Robert

Colgrove, Robert is an individual health care provider with primary practice located at 330 Mount Auburn St South 2, Cambridge MA 02138-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Colgrove, Robert can be contacted via phone (617) 499-5026.

Contact Information

Primary practice address
330 Mount Auburn St South 2 Cambridge MA 02138-5502
Fax: (617) 499-5453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 75593 Massachusetts

Profile Details

NPI number 1144222522
LBN Legal business name Colgrove, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Apr 9th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144222522 NPPES
Massachusetts MEDICAID 3139646

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