Provider Demographics
NPI:1174639678
Name:SLOCUM, ROBERT E (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:SLOCUM
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Gender:M
Credentials:DO
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Mailing Address - Street 1:27 CONGRESS STREET SUITE 513
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:978-744-8388
Mailing Address - Fax:978-744-0079
Practice Address - Street 1:302 WASHINGTON STREET GLOUCESTER FAMILY HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-3876
Practice Address - Country:US
Practice Address - Phone:978-282-8899
Practice Address - Fax:978-282-5599
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2018-11-27
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Provider Licenses
StateLicense IDTaxonomies
NH13230207Q00000X
MA254837207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine