Provider Demographics
NPI:1578659033
Name:GIUSTINI, ROBERT A (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:GIUSTINI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 PARK STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3064
Mailing Address - Country:US
Mailing Address - Phone:508-222-4466
Mailing Address - Fax:508-222-4595
Practice Address - Street 1:140 PARK STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3064
Practice Address - Country:US
Practice Address - Phone:508-222-4466
Practice Address - Fax:508-222-4595
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04271OtherHARVARDPILGRIN
MA04298OtherTUFTS
RI4400114OtherUH
RI401771OtherBLUE CHIP
RI9146OtherBCBSRI
MA1609459Medicaid
MA04271OtherHARVARDPILGRIN
RI9146OtherBCBSRI