Phares, Robert W

Phares, Robert W is an sole proprietor health care provider with primary practice located at 1027 Memorial Dr , Oakland MD 21550-4343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phares, Robert W can be contacted via phone (301) 533-3300.

Contact Information

Primary practice address
1027 Memorial Dr Oakland MD 21550-4343
Phone: (301) 533-3300
Fax: (301) 533-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21259 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0086835 Maryland

Profile Details

NPI number 1083666598
LBN Legal business name Phares, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Oct 16th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083666598 NPPES
West Virginia MEDICAID 2005711000

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