Individual
ROBERT M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SUMMER STREET, SUITE 380 N, WORCESTOR, MA 01608
(508) 363-6126
(508) 363-9266
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-6126
(508) 363-9266
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
42763
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
ONE HEALTH PLAN
—
01
—
202138
CIGNA HEALTH PLAN
—
01
—
2071908
MEDICAID WELFARE
—
05
—
2071908
—
MA
01
—
26773
HEALTHY START
—
01
—
3100051
EVERCARE
—
01
—
7763607
US HEALTHCARE
—
01
—
783998
MVP HEALTH CARE
—
01
—
9900140
FALLON COMM HEALTH PLAN
—
01
—
AA2834
HARVARD PILGRAM HLTH CARE
—
01
—
B18224
BLUE CARE ELECT
—
Enumeration date
05/16/2006
Last updated
06/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us