Provider Demographics
NPI:1316051485
Name:ROBERT L STEIN DO PC
Entity type:Organization
Organization Name:ROBERT L STEIN DO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-347-5665
Mailing Address - Street 1:752 BROOKSHIRE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148
Mailing Address - Country:US
Mailing Address - Phone:724-347-5665
Mailing Address - Fax:724-347-5706
Practice Address - Street 1:752 BROOKSHIRE DRIVE
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148
Practice Address - Country:US
Practice Address - Phone:724-347-5665
Practice Address - Fax:724-347-5706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S009750L207W00000X
PA0S007208L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty