Individual
SUMON ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 OAK ST, STE 205W, BROCKTON, MA 02301-1191
(508) 583-4440
(508) 583-7401
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101266788
VA
207R00000X
Internal Medicine Physician
1019836
MA
207RC0000X
Cardiovascular Disease Physician
0101266788
VA
207RC0000X
Cardiovascular Disease Physician
1019836
MA
207RC0000X
Cardiovascular Disease Physician
D0093902
MD
207RI0011X
Interventional Cardiology Physician
Primary
1019836
MA
207RI0011X
Interventional Cardiology Physician
D0093902
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110216077A
—
MA
05
—
3147613
—
NH
Enumeration date
06/23/2016
Last updated
03/04/2026
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