# ROBERT G SOUCY JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609857747
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8182 | NH | Yes |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 12/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000101 | — | VT |
| 01 | — | 0405411Y0NH02 | ANTHEM NH | — |
| 01 | — | 0405411Y0NH03 | ANTHEM NH | — |
| 01 | — | 21211 | CIGNA | NH |
| 05 | — | 30002940 | — | NH |
| 05 | — | 3094399 | — | NH |
| 01 | — | 341982 | MVP | VT |
| 01 | — | 80159325 | RR MEDICARE | NH |
| 01 | — | 8080 | VTBLUE | — |
| 01 | — | A78574 | TRICARE | — |