Provider Demographics
NPI:1679834915
Name:BARTOLUCCI, ROBERT B (HIS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:B
Last Name:BARTOLUCCI
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MOUND CT
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4412
Mailing Address - Country:US
Mailing Address - Phone:603-429-4012
Mailing Address - Fax:603-429-3821
Practice Address - Street 1:3 MOUND CT
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4412
Practice Address - Country:US
Practice Address - Phone:603-429-4012
Practice Address - Fax:603-429-3821
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH326237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist