Provider Demographics
NPI:1114221900
Name:MACMATH, ROBERT KELLER II (MS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:KELLER
Last Name:MACMATH
Suffix:II
Gender:M
Credentials:MS
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Other - Last Name:
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Mailing Address - Street 1:6 LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-4214
Mailing Address - Country:US
Mailing Address - Phone:508-655-4048
Mailing Address - Fax:
Practice Address - Street 1:6 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-4214
Practice Address - Country:US
Practice Address - Phone:508-655-4048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist