Provider Demographics
NPI:1740248137
Name:NEGUS, ROBERT A (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:NEGUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:26 OLD BROOK RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-5409
Mailing Address - Country:US
Mailing Address - Phone:508-845-0127
Mailing Address - Fax:
Practice Address - Street 1:14 PROSPECT ST
Practice Address - Street 2:MILFORD HOSPITAL
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3003
Practice Address - Country:US
Practice Address - Phone:508-422-2250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71041207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0008333OtherNHP
MA3050971Medicaid
38487OtherFALLON
613214OtherHARVARD PILGRIM HEALTH CARE
J08537OtherBLUE CROSS BLUE SHIELD
000000021079OtherBMC HEALTHNET
930062670OtherRAILROAD MEDICARE
986332OtherNETWORK HEALTH
733711OtherTUFTS
986332OtherNETWORK HEALTH