Madeira, Robert G.
Madeira, Robert G. is an sole proprietor health care provider with primary practice located at 2905 Edgemont Dr , Allentown PA 18103-5409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Madeira, Robert G. can be contacted via phone (610) 770-9569.Contact Information
Primary practice address
2905 Edgemont Dr
Allentown PA 18103-5409
Phone: (610) 770-9569
Fax: (610) 770-9569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD072382L | Pennsylvania |
Profile Details
NPI number | 1578524211 |
---|---|
LBN Legal business name | Madeira, Robert G. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 31st, 2006 |
Last updated | Dec 2nd, 2013 - about 11 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 | 1578524211 | NPPES |
Pennsylvania | MEDICAID | 001882935 |
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