Nicoletta, Robert Joseph

Nicoletta, Robert Joseph is an individual health care provider with primary practice located at 725 Albany St Shapiro 4, Suite B, Boston MA 02118-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Nicoletta, Robert Joseph can be contacted via phone (617) 638-5633.

Contact Information

Primary practice address
725 Albany St Shapiro 4, Suite B Boston MA 02118-2526
Phone: (617) 638-5633
Fax: (617) 414-5226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 212596 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 212596 Massachusetts

Profile Details

NPI number 1194705616
LBN Legal business name Nicoletta, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 21st, 2014 - about 10 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 1194705616 NPPES
Massachusetts MEDICAID 110073470A

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