Roberts, Drucilla Jane
Roberts, Drucilla Jane is an individual health care provider with primary practice located at 55 Fruit St Wrn 2, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Roberts, Drucilla Jane can be contacted via phone (617) 724-1415.Contact Information
Primary practice address
55 Fruit St Wrn 2
Boston MA 02114-2696
Phone: (617) 724-1415
Fax: (617) 726-7474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 58161 | Massachusetts |
Profile Details
| NPI number | 1811987548 |
|---|---|
| LBN Legal business name | Roberts, Drucilla Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811987548 | NPPES |
| Massachusetts | MEDICAID | 3088774 | |
| Massachusetts | Other | J12166 | |
| Massachusetts | Other | 730646 |
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