| Robert J. Boylston Inc. | |
|
152 North St Suite 330 Pittsfield MA 01201-5118 | |
| (413) 443-8480 | |
| (413) 443-8455 |
| Full Name | Robert J. Boylston Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 152 North St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Robert J Boylston (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4134438480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Boylston Inc. 152 North St Suite 330 Pittsfield MA 01201-5118 Ph: (413) 443-8480 | Robert J. Boylston Inc. 152 North St Suite 330 Pittsfield MA 01201-5118 Ph: (413) 443-8480 |
| NPI Number | 1205229838 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 05/12/2015 |
| Medicare PECOS PAC ID | 6204156409 |
|---|---|
| Medicare Enrollment ID | O20150528002026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205229838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW107315 (Massachusetts) | Primary |
| Provider Name | Robert J Boylston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093873085 PECOS PAC ID: 8123048253 Enrollment ID: I20051202000718 |
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