Individual
DR. ROBERT CHARLES SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
032745
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-3035909
MIMA GROUP TAX ID
—
01
—
2000000232
HARVARD PILGRIM HEALTH
MA
01
—
600427
TUFTS HEALTH PLAN
MA
05
—
6173411
—
MA
01
—
C05036
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/13/2007
Last updated
06/22/2012
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