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General NPI Number Information
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NPI Number | 1265601033
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Entity Type | Organization
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Legal Business Name | MIDDLESEX INTERNAL MEDICINE ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 28 LORD RD SUITE 255
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4548
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Country | US
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Telephone | 508-485-7660
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Fax | 508-481-4540
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Provider Business Mailing Address
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Address Line | 28 LORD RD SUITE 255
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4548
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Country | US
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Telephone | 508-485-7660
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Fax | 508-481-4540
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CHARLES SUMNER
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Credential | MD
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Telephone | 508-485-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 32745
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License Number State | MA
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