Provider Demographics
NPI:1558342709
Name:EPSTEIN, ROY A (MD)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:A
Last Name:EPSTEIN
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 1:30 NEW CROSSING RD
Mailing Address - Street 2:HALLMARK HEALTH MEDICAL ASSOCIATES
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3270
Mailing Address - Country:US
Mailing Address - Phone:781-246-3500
Mailing Address - Fax:781-246-3555
Practice Address - Street 1:30 NEW CROSSING RD
Practice Address - Street 2:HALLMARK HEALTH MEDICAL ASSOCIATES
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3270
Practice Address - Country:US
Practice Address - Phone:781-246-3500
Practice Address - Fax:781-246-3555
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA52911207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6177433Medicaid
MAJ03306Medicare PIN
MA6177433Medicaid