Provider Demographics
NPI:1497956791
Name:TAPPER, ROBIN J (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:J
Last Name:TAPPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 DECATUR LN
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-2106
Mailing Address - Country:US
Mailing Address - Phone:508-358-0076
Mailing Address - Fax:
Practice Address - Street 1:27 DECATUR LN
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-2106
Practice Address - Country:US
Practice Address - Phone:508-358-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57503207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine