Basic Information
| Provider Information | |||||||||
| NPI: | 1750369559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBSON | ||||||||
| FirstName: | SIMON | ||||||||
| MiddleName: | C. | ||||||||
| NamePrefix: | PROF. | ||||||||
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| Credential: | MD, PHD, FRCP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 FRANCIS ST STE 8E | ||||||||
| Address2: | BETH ISRAEL DEACONESS MEDICAL CENTER | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022155501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177352921 | ||||||||
| FaxNumber: | 6177352930 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 FRANCIS ST | ||||||||
| Address2: | BETH ISRAEL DEACONESS MEDICAL CENTER | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022155501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176321070 | ||||||||
| FaxNumber: | 6176321861 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2006 | ||||||||
| LastUpdateDate: | 04/13/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 152072 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0008X | 152072 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hepatology |
No ID Information.