Robert Licho is a Nuclear Medicine in Boston, Massachusetts. Robert Licho practices all healthcare services and medical treatments related to Nuclear Medicine. The NPI Number for Robert Licho is 1831138189. The last update date is 2021-06-07.
Robert Licho's current location address is Po Box 415348, Boston, Massachusetts. You can contact this provider via phone number 8002258885 and fax number 5083341977. The mailing address for Robert Licho is Po Box 415348, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Licho |
|---|---|
| Address | Po Box 415348, Boston, Massachusetts |
| Phone Number | 8002258885 |
| Fax Number | 5083341977 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831138189 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2021-06-07 |
Provider Mailing Address Detail
| Address | Po Box 415348 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22415348 |
| Phone Number | 8002258885 |
| Fax Number | 5083341977 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Medicine |
|---|---|
| Taxonomy | 207U00000X |
| Licence No | 72925 |
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Definition: A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the functio |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3067866 | MA | -- | |
| 110048901A | MA | -- |
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What is the unique 10-digit identifier code issued to Robert Licho by the Centers for Medicare & Medicaid Services?
The Robert Licho has been assigned the NPI (National Provider Identifier) 1831138189 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert Licho is physically located?
The Robert Licho is physically situated at the following address: Po Box 415348, Boston, MA, 22415348.
What is Robert Licho's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Robert Licho's specialized field of practice is Nuclear Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207U00000X.
On what date was the 1831138189 assigned to Robert Licho?
The Robert Licho was issued its 1831138189 on 2006-06-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Robert Licho's details last updated?
The information pertaining to the Robert Licho, including its address, specialty, and other details, was most recently updated on 2021-06-07.