Active NPIIndividual providerSole proprietor

Robert W Averill, MD

Dermatology in Greenfield, Massachusetts

NPI Number1215924634
Practice location
474 Main St, Greenfield, MA 01301-3315
Fax
413-774-3077
Last updated
March 15, 2010

Robert W. Averill is a Dermatology based in Greenfield, MA. Robert W. Averill practices in Greenfield, MA and has the professional credentials of MD. The NPI Number for Robert W. Averill is 1215924634 and holds a License No. 41366 (MA). The current practice location address for Robert W. Averill is 474 Main St, Greenfield, MA 01301-3315 and can be reached out via phone at 413-774-3077 and via fax at 413-774-3077.

Provider Profile Details

NPI Number
1215924634
Provider Name
Robert W. Averill
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
474 Main St, Greenfield, MA 01301-3315
Phone Number
413-774-3077
Fax Number
413-774-3077
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2005
Last Update Date
March 15, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
474 Main St
Greenfield, MA 01301-3315
Zip
01301-3315
Phone Number
413-774-3077
Fax Number
413-774-3077
Greenfield, MA 01301Get directions →

Provider Business Mailing Address Details

Address
474 Main St
Greenfield, MA 01301-3315
City
Greenfield
State
MA
Zip
01301-3315
Phone Number
413-774-3077
Fax Number
413-774-3077

License Information

License Number (1)
41366
License State (1)
MA
Taxonomy (1)
Dermatology · 207N00000X · Primary
License Number (2)
6631
License State (2)
NH
Taxonomy (2)
Dermatology · 207N00000X

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 W Averill, MD?

The NPI number of Robert W Averill, MD is 1215924634. It was assigned on September 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Robert W Averill, MD?

Robert W Averill, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 41366.

Where does Robert W Averill, MD practice?

The practice location is 474 Main St, Greenfield, MA 01301-3315. The office can be reached at 413-774-3077 (phone) or 413-774-3077 (fax).

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 1215924634 directly on the NPPES registry website.

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