| Doctor Name: | ROBERTO MASTROIANNI |
| NPI Number: | 1174856744 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 273576 |
| Business Practice Address: | 10 Gove St East Boston, MA - 021281920 |
| Business Phone Number: | 6175695800 |
| Business Fax Number: | 6175684780 |
| Mailing Address: | 10 Gove St, EAST BOSTON |
| State: | MA |
| Postal Code: | 021281920 |
| Phone Number: | 6175695800 |
| Fax Number: | 6175684780 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 09/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 273576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |