Organization
MIDDLESEX INTERNAL MEDICINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CHARLES SUMNER MD (PRESIDENT)
(508) 485-7660
Entity
Organization
Contact information
Practice address
28 LORD RD, SUITE 255, MARLBOROUGH, MA 01752-4548
(508) 485-7660
(508) 481-4540
Mailing address
28 LORD RD, SUITE 255, MARLBOROUGH, MA 01752-4548
(508) 485-7660
(508) 481-4540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32745
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600427
TUFTS HEALTHPLAN
MA
05
—
9768246
—
MA
01
—
M15558
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/26/2008
Last updated
04/20/2008
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