Provider Demographics
NPI:1730149188
Name:BESSETTE, ROBERT E (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:BESSETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-368-3122
Mailing Address - Fax:508-368-3121
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:SUITE 220 S
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1200
Practice Address - Country:US
Practice Address - Phone:508-368-3122
Practice Address - Fax:508-368-3121
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA29778207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
26755OtherHEALTHY START
9900072OtherFALLON COMMUNITY HEALTH
AA4450OtherHARVARD PILGRIM HEALTH
N01562OtherBLUE CARE ELECT
042472266OtherPRIVATE HEALTHCARE SYSTEM
N01562OtherBLUE SHIELD INDEMNITY
7221604OtherAETNA US HEALTHCARE
N01562OtherMEDICARE B
042472266OtherHEALTHCARE VALUE MGMT
7227566OtherCIGNA HEALTH PLAN
934912OtherFIRST HEALTH
440002603OtherRAILROAD MEDICARE
783996OtherMVP HEALTH CARE
0104051OtherMEDICAID WELFARE
MA0104051Medicaid
N01562OtherBLUE SHIELD HMO BLUE
042472266OtherONE HEALTH PLAN
26755OtherCHILDRENS MEDICAL SECURIT
26755OtherHEALTHY START
934912OtherFIRST HEALTH