Active NPIIndividual provider

Robert M Black, MD

Internal Medicine, Nephrology in Worcestor, Massachusetts

NPI Number1689626913
Practice location
123 Summer Street, Suite 380 N, Worcestor, MA 01608
Fax
508-363-9266
Last updated
June 23, 2020

Robert M Black is an Internal Medicine, Nephrology based in Worcestor, MA. Robert M Black practices in Worcestor, MA and has the professional credentials of MD. The NPI Number for Robert M Black is 1689626913 and holds a License No. 42763 (MA). The current practice location address for Robert M Black is 123 Summer Street, Suite 380 N, Worcestor, MA 01608 and can be reached out via phone at 508-363-6126 and via fax at 508-363-9266.

Provider Profile Details

NPI Number
1689626913
Provider Name
Robert M Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Summer Street, Suite 380 N, Worcestor, MA 01608
Phone Number
508-363-6126
Fax Number
508-363-9266
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2006
Last Update Date
June 23, 2020
Certification Date
June 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer Street
Suite 380 N
Worcestor, MA 01608
Zip
01608
Phone Number
508-363-6126
Fax Number
508-363-9266
Worcestor, MA 01608Get directions →

Provider Business Mailing Address Details

Address
123 Summer St
Worcester, MA 01608-1216
City
Worcester
State
MA
Zip
01608-1216
Phone Number
508-363-6126
Fax Number
508-363-9266

License Information

License Number
42763
License State
MA
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Robert M Black, MD?

The NPI number of Robert M Black, MD is 1689626913. It was assigned on May 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Robert M Black, MD?

Robert M Black, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in MA under license number 42763.

Where does Robert M Black, MD practice?

The practice location is 123 Summer Street, Suite 380 N, Worcestor, MA 01608. The office can be reached at 508-363-6126 (phone) or 508-363-9266 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689626913 directly on the NPPES registry website.

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