Provider Demographics
NPI:1740208263
Name:PARRIS, ROBERT C (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:PARRIS
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 1:40 DRIFTWAY
Mailing Address - Street 2:APT. #36
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-4612
Mailing Address - Country:US
Mailing Address - Phone:781-545-8580
Mailing Address - Fax:
Practice Address - Street 1:40 DRIFTWAY
Practice Address - Street 2:APT.# 36
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-4612
Practice Address - Country:US
Practice Address - Phone:781-545-8580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78951208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery