Provider Demographics
NPI:1467737452
Name:ROBERT, JOSEPH ALBERT (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALBERT
Last Name:ROBERT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2735
Mailing Address - Country:US
Mailing Address - Phone:978-567-9360
Mailing Address - Fax:978-567-9366
Practice Address - Street 1:256 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2735
Practice Address - Country:US
Practice Address - Phone:978-567-9360
Practice Address - Fax:978-567-9366
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH21937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist