Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT M BLACK, MD
ActiveNephrology · WORCESTOR, MA
Registration Details
- NPI Number
- 1689626913
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (19.99941554404 yrs)
- Last Updated
- Jun 23, 2020
- License
-
42763 (MA)
Practice Information
- Address
-
123 SUMMER STREETSUITE 380 NWORCESTOR, MA, 01608Browse MA providers · Browse ZIP 01608
- Phone
- 5083636126
- Fax
- 5083639266
- Primary Specialty
-
Nephrology
207RN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.