Active NPIIndividual provider

Robert J Willis, MD

Pediatrics in Ludlow, Massachusetts

NPI Number1164506184
Practice location
77 Winsor St, Suite # 104, Ludlow, MA 01056-3469
Fax
—
Last updated
November 30, 2011

Robert J Willis is a Pediatrics based in Ludlow, MA. Robert J Willis practices in Ludlow, MA and has the professional credentials of MD. The NPI Number for Robert J Willis is 1164506184 and holds a License No. 50650 (MA). The current practice location address for Robert J Willis is 77 Winsor St, Suite # 104, Ludlow, MA 01056-3469 and can be reached out via phone at 413-589-9494.

Provider Profile Details

NPI Number
1164506184
Provider Name
Robert J Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 Winsor St, Suite # 104, Ludlow, MA 01056-3469
Phone Number
413-589-9494
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2006
Last Update Date
November 30, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Winsor St
Suite # 104
Ludlow, MA 01056-3469
City
Ludlow
Zip
01056-3469
Phone Number
413-589-9494
Ludlow, MA 01056Get directions →

Provider Business Mailing Address Details

Address
77 Winsor St
Suite # 104
Ludlow, MA 01056-3469
City
Ludlow
State
MA
Zip
01056-3469
Phone Number
413-589-9494

License Information

License Number
50650
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Robert J Willis, MD?

The NPI number of Robert J Willis, MD is 1164506184. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Robert J Willis, MD?

Robert J Willis, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 50650.

Where does Robert J Willis, MD practice?

The practice location is 77 Winsor St, Suite # 104, Ludlow, MA 01056-3469. The office can be reached at 413-589-9494 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164506184 directly on the NPPES registry website.

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