Provider Demographics
NPI:1881743029
Name:ROBATOR, JAMES JR (PA-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:ROBATOR
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:300 STAFFORD ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3581
Mailing Address - Country:US
Mailing Address - Phone:413-732-9600
Mailing Address - Fax:413-732-9621
Practice Address - Street 1:299 CAREW ST STE 323
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104
Practice Address - Country:US
Practice Address - Phone:413-732-9600
Practice Address - Fax:413-732-9621
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA786363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA970020203OtherRAIL ROAD
000786OtherCONNECTICARE