Provider Demographics
NPI:1205995438
Name:SHEPHERD, ROBERT B (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:SHEPHERD
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:415 BOSTON TPKE STE 105
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3414
Mailing Address - Country:US
Mailing Address - Phone:088-458-2005
Mailing Address - Fax:508-845-8300
Practice Address - Street 1:415 BOSTON TPKE STE 105
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3414
Practice Address - Country:US
Practice Address - Phone:088-458-2005
Practice Address - Fax:508-845-8300
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA73159207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine