Provider Demographics
NPI:1861573370
Name:ABBATIELLO, ROBERT (LAC, ND)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:ABBATIELLO
Suffix:
Gender:M
Credentials:LAC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 WATSON SPRUCE CORNER RD
Mailing Address - Street 2:
Mailing Address - City:ASHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01330-9785
Mailing Address - Country:US
Mailing Address - Phone:413-587-0777
Mailing Address - Fax:
Practice Address - Street 1:35 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1419
Practice Address - Country:US
Practice Address - Phone:413-587-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA96171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist