Provider Demographics
NPI:1750369559
Name:ROBSON, SIMON C (MD, PHD, FRCP)
Entity type:Individual
Prefix:PROF
First Name:SIMON
Middle Name:C
Last Name:ROBSON
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Gender:M
Credentials:MD, PHD, FRCP
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Mailing Address - Street 1:110 FRANCIS ST STE 8E
Mailing Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-735-2921
Mailing Address - Fax:617-735-2930
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-1070
Practice Address - Fax:617-632-1861
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2011-04-13
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Provider Licenses
StateLicense IDTaxonomies
MA152072207R00000X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAG40394Medicare UPIN