Sege, Robert David
Sege, Robert David is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Sege, Robert David can be contacted via phone (617) 414-5946.Contact Information
Primary practice address
850 Harrison Ave Yacc5
Boston MA 02118-4001
Phone: (617) 414-5946
Fax: (617) 414-4541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 73672 | Massachusetts |
| Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 73672 | Massachusetts |
Profile Details
| NPI number | 1376672311 |
|---|---|
| LBN Legal business name | Sege, Robert David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Apr 23rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376672311 | NPPES |
| Massachusetts | MEDICAID | 110049675A |
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