ROBERT JOHN TATE II

Dr ROBERT JOHN TATE II is a male medical professional, specializing in Clinical Social Worker. He graduated in 1982.

Contact

38 PLEASANT ST
PORTLAND
ME
041013964

Tel: 2077730481

ROBERT JOHN TATE II Information

Npi 1093883449
Pac Id 6608027321
Professional Enrollment Id I20121106000376
Last Name TATE
First Name ROBERT
Middle Name JOHN
Suffix II
Gender M
Credential
Medical School Name OTHER
Graduation Year 1982
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 38 PLEASANT ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PORTLAND
State ME
Zip Code 041013964
Phone Number 2077730481
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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