Provider Demographics
NPI:1124175609
Name:KLEIN, ROBERT MILGRAM (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MILGRAM
Last Name:KLEIN
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Gender:
Credentials:MD
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Mailing Address - Street 1:2 COURTHOUSE LANE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824
Mailing Address - Country:US
Mailing Address - Phone:978-275-9444
Mailing Address - Fax:978-275-9918
Practice Address - Street 1:360 HUNTINGTON AVENUE
Practice Address - Street 2:NORTHEASTERN UNIVERSITY HEALTH AND COUNSELING SERVICES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5000
Practice Address - Country:US
Practice Address - Phone:617-373-2772
Practice Address - Fax:617-373-4142
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2025-03-21
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Provider Licenses
StateLicense IDTaxonomies
MA586992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3061281Medicaid
MAE47979Medicare UPIN
MAJ09760Medicare ID - Type Unspecified