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Contact Information

SUMON ROY, MD
830 OAK ST
STE 205W
BROCKTON, MA02301-1191
 Phone: 508-583-4440
 Fax: 508-583-7401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUMON ROY · (Male)

NPI # 1447601109
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2016
Last updated 03/04/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 1019836
  • MD License # D0093902
  • VA License # 0101266788
  • MA Medicaid 110216077A
  • NH Medicaid 3147613
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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