Provider Demographics
NPI:1215991013
Name:VOGEL, ROBERT ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:VOGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64442
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4442
Mailing Address - Country:US
Mailing Address - Phone:410-328-8795
Mailing Address - Fax:410-328-4382
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-8795
Practice Address - Fax:410-328-4382
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0034524207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD350891-01OtherBLUE CROSS/BLUE SHIELD
MD468351000Medicaid
DC036606600Medicaid
WV3810000961Medicaid
VA5849594Medicaid
DE1215991013Medicaid
MD350891-01OtherBLUE CROSS/BLUE SHIELD
MDD72311Medicare UPIN
MD110036674Medicare PIN
WV3810000961Medicaid