| Doctor Name: | MR. ROBERT ANTHONY NAZZARO |
| NPI Number: | 1215094735 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW LICSW |
| License Number: | 111018 |
| Business Practice Address: | 155 Kendall Rd Tewksbury, MA - 018761361 |
| Business Phone Number: | 6177914805 |
| Business Fax Number: | 9788516684 |
| Mailing Address: | 99 Walnut St, Suite F SAUGUS |
| State: | MA |
| Postal Code: | 019061980 |
| Phone Number: | 6177914805 |
| Fax Number: | 9788516684 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 111018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |