Provider Demographics
NPI:1194774315
Name:TUFTS, ROBERT D JR (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:D
Last Name:TUFTS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:35 UNITED DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1056
Mailing Address - Country:US
Mailing Address - Phone:508-238-8646
Mailing Address - Fax:
Practice Address - Street 1:480 MAPLE ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-4065
Practice Address - Country:US
Practice Address - Phone:978-921-1717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA46971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0006085OtherNEIGHBORHOOD HEALTH PLAN
MA32030OtherFALLON HEALTH PLAN
MA6175376Medicaid
MA62678OtherHARVARD PILGRIM HEALTH
MAJ02897OtherBLUE SHIELD
MA046971OtherTUFTS HEALTH PLAN
MAB87102Medicare UPIN
MAJ02897Medicare ID - Type Unspecified