Provider Demographics
NPI:1730162512
Name:YOUNG, ROBERT E (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-9147
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-878-2650
Practice Address - Street 1:75 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-9147
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-878-2650
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA41920208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherUNITED HEALTH CARE
MA802264OtherHVD PILGRIM HEALTH CARE
MA0057547002OtherCIGNA
MA4052517OtherAETNA
MA0018850OtherNEIGHBORHOOD HLTH PLAN
MA042297845OtherGREAT WEST HEALTH CARE
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MA042297845OtherGIC UNICARE
MA35043OtherFALLON
MA701663OtherTUFTS MEDICARE PREFERRED
MA042297845OtherHCVM
MA042297845OtherDOC FIRST
MA701663OtherTUFTS
MAC20245OtherBCBS
MA042297845OtherTRICARE
MA2044439Medicaid
MA042297845OtherTRICARE
MA042297845OtherUNITED HEALTH CARE