Provider Demographics
NPI:1821125766
Name:ROBERT A MCGUIRK MD PC
Entity Type:Organization
Organization Name:ROBERT A MCGUIRK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MCGUIRK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-380-0700
Mailing Address - Street 1:400 WASHINGTON ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4729
Mailing Address - Country:US
Mailing Address - Phone:781-380-0700
Mailing Address - Fax:781-380-0974
Practice Address - Street 1:400 WASHINGTON ST
Practice Address - Street 2:SUITE 206
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4729
Practice Address - Country:US
Practice Address - Phone:781-380-0700
Practice Address - Fax:781-380-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37316207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2063018Medicaid
MAM13335Medicare ID - Type Unspecified