Provider Demographics
NPI:1841282845
Name:BELKNAP, ROBERT FORREST (MD MPH)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FORREST
Last Name:BELKNAP
Suffix:
Gender:M
Credentials:MD MPH
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Mailing Address - Street 1:223 CHIEF JUSTICE CUSHING HWY
Mailing Address - Street 2:STE 201
Mailing Address - City:COHASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02025-1391
Mailing Address - Country:US
Mailing Address - Phone:781-383-8380
Mailing Address - Fax:781-930-1791
Practice Address - Street 1:223 CHIEF JUSTICE CUSHING HWY
Practice Address - Street 2:STE 201
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1391
Practice Address - Country:US
Practice Address - Phone:781-383-8380
Practice Address - Fax:781-930-1791
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA801992080P0006X
MI43010320772080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3127486Medicaid
1201825OtherUNITED
MAJ14718OtherBCBS
MA080199OtherTUFTS
201845OtherHARVARD PILGRIM
2301825OtherCIGNA
2085344OtherAETNA
MA3127486Medicaid