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Contact Information

ROBERT J DEBORTOLI
75 LINDALL ST
DANVERS, MA01923-2121
 Phone: 978-767-2847
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for ROBERT J DEBORTOLI · (Male)

NPI # 1548037823
Status Active
Credentials
Entity Individual
Enumeration date 12/07/2023
Last updated 12/07/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MA License # LN86812
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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