Provider Demographics
NPI:1326001215
Name:SCHLOSSMAN, ROBERT LAWRENCE (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LAWRENCE
Last Name:SCHLOSSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 LANSING RD
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465
Mailing Address - Country:US
Mailing Address - Phone:617-632-5126
Mailing Address - Fax:617-632-6624
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:M229
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:613-632-5126
Practice Address - Fax:617-632-6624
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75562207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3000069OtherUNITED HEALTH CARE
43270OtherFALLON COMMUNITY HEALTH P
F30191DFOtherHPHC DFCI ONLY
MAJ12659OtherBCBS INDEMNITY ELECT HMO
075562OtherTUFTS
7326528OtherCIGNA
2067560OtherAETNA US HEALTHCARE
MA3161561Medicaid
830002964OtherRR MEDICARE DFCI
830002964OtherRR MEDICARE DFCI
F30191DFOtherHPHC DFCI ONLY