Provider Demographics
NPI:1386610467
Name:HONIG, ROBERT M (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:HONIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5 NEPONSET ST
Mailing Address - Street 2:WOT 2ND FL, STE C203
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-595-2300
Mailing Address - Fax:508-853-5226
Practice Address - Street 1:5 NEPONSET ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2714
Practice Address - Country:US
Practice Address - Phone:508-595-2300
Practice Address - Fax:508-853-5226
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA44229207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110051985AMedicaid
5098288OtherAETNA
MA3099601Medicaid
E33013OtherBLUE SHIELD INDEMNITY
E33013OtherMEDICARE B
28914OtherCHILDRENS MED SEC PLAN
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherONE HEALTH PLAN
6084821OtherCIGNA HEALTH PLAN
AA1212OtherHARVARD PILGRIM HLTHCARE
784145OtherMVP HEALTH CARE
9900075OtherFALLON COMM HEALTH PLAN
E33013OtherBLUE SHIELD HMO BLUE
3099601OtherMEDICAID WELFARE
0401734OtherEVERCARE
E33013OtherBLUE CARE ELECT
28914OtherHEALTHY START
5098228OtherUS HEALTHCARE
3099601OtherMEDICAID WELFARE
MAE33013Medicare ID - Type Unspecified