Provider Demographics
NPI:1235165291
Name:DOWNES, ROBERT BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BARRY
Last Name:DOWNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:B
Other - Last Name:DOWNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:169 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1332
Mailing Address - Country:US
Mailing Address - Phone:508-647-0100
Mailing Address - Fax:
Practice Address - Street 1:169 PINE ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1332
Practice Address - Country:US
Practice Address - Phone:508-647-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32897207RA0401X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
D88157Medicare UPIN
D88157Medicare UPIN