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Contact Information

ROBERT M DESIMONE, LAT, ATC, EMT, RN
8 WEATHERVANE RD
BILLERICA, MA01821-5658
 Phone: 781-696-3538
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for ROBERT M DESIMONE · (Male)

NPI # 1336101435
Status Active
Credentials LAT, ATC, EMT, RN
Entity Individual
Enumeration date 04/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 1501
  • MA License # 269340
  • MA License # 842787
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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