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NPI 1427148535

NPI 1427148535 : ROBERT P SUNDEL MD : BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1427148535
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT P SUNDEL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    300 LONGWOOD AVE 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02115-5724
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    Country              |    US
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    Telephone            |    617-355-6524
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    Fax                  |    617-730-0249
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Provider Business Mailing Address
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    Address Line         |    252 MASON TER 
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    City                 |    BROOKLINE
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    State                |    MA
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    Zip                  |    02446-2778
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    Country              |    US
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    Telephone            |    617-734-3513
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2080P0201X
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    Taxonomy Name        |    Pediatric Allergy/Immunology Physician
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    License Number       |    57092
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2080P0216X
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    Taxonomy Name        |    Pediatric Rheumatology Physician
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    License Number       |    57092
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    License Number State |    MA
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