Provider Demographics
NPI:1063522845
Name:HOPKINS, ROBERT PARKER (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:PARKER
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-3027
Mailing Address - Country:US
Mailing Address - Phone:978-369-5454
Mailing Address - Fax:978-369-5454
Practice Address - Street 1:1266 MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3027
Practice Address - Country:US
Practice Address - Phone:978-369-5454
Practice Address - Fax:978-369-5454
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA292752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1020350OtherBEACON HEALTH
MA759733OtherTUFTS HEALTH PLAN
MAB07079OtherBLUE CROSS
MA2093189Medicaid
MA759733OtherTUFTS HEALTH PLAN
MA2093189Medicaid