| Robert L. Van Uitert, M.d., P.c. | |
|
77 Hospital Ave Suite 202 North Adams MA 01247-2550 | |
| (413) 664-6321 | |
| (413) 663-9208 |
| Full Name | Robert L. Van Uitert, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 77 Hospital Ave, North Adams, Massachusetts |
| Authorized Official Name and Position | Robert Legrande Van Uitert (PRESIDENT) |
| Authorized Official Contact | 4136646321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L. Van Uitert, M.d., P.c. 77 Hospital Ave Suite 202 North Adams MA 01247-2550 Ph: (413) 664-6321 | Robert L. Van Uitert, M.d., P.c. 77 Hospital Ave Suite 202 North Adams MA 01247-2550 Ph: (413) 664-6321 |
| NPI Number | 1770601809 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 03/17/2010 |
| Medicare PECOS PAC ID | 7113052002 |
|---|---|
| Medicare Enrollment ID | O20100317000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770601809 | NPI | - | NPPES |
| 0140554 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 45570 (Massachusetts) | Primary |
| Provider Name | Robert L Van Uitert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801945373 PECOS PAC ID: 9234185307 Enrollment ID: I20050323000010 |
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