Massachusetts
Division of Professional Licensure
Robert I Park
Board Of Registration In Medicine
License number
205250
Date granted
05/24/2000
Date expires
12/19/2016
Class
Board Of Registration In Medicine
Status
Active
Address
One Vanderbilt Park Drive, Suite 150
licensingma.org
ID 41464515
LAST UPDATED 2026-04-16 18:57:55 UTC
LAST UPDATED 2026-04-16 18:57:55 UTC
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