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Contact Information

ROBERT M BLACK, MD
123 SUMMER STREET
SUITE 380 N
WORCESTER, MA01608
 Phone: 508-363-6126
 Fax: 508-363-9266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT M BLACK · (Male)

NPI # 1689626913
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 06/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 42763
  • MA Medicaid 2071908
  • Other 7763607 AETNA
  • Other B18224 BLUE CARE ELECT
  • Other B18224 BLUE SHIELD HMO BLUE
  • Other B18224 BLUE SHIELD INDEMNITY
  • Other 26773 CHILDRENS MED SEC PLAN
  • Other 202138 CIGNA HEALTH PLAN
  • Other 3100051 EVERCARE
  • Other 9900140 FALLON COMM HEALTH PLAN
  • Other AA2834 HARVARD PILGRAM HLTH CARE
  • Other 042472266 HEALTHCARE VALUE MGMT
  • Other 26773 HEALTHY START
  • Other 2071908 MEDICAID WELFARE
  • Other 783998 MVP HEALTH CARE
  • Other 042472266 ONE HEALTH PLAN
  • Other 042472266 PRIVATE HEALTHCARE SYSTEM
  • Other 7763607 US HEALTHCARE
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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