Provider Demographics
NPI:1386919777
Name:FILLER, ROBERT (MD, MBA, MPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:FILLER
Suffix:
Gender:M
Credentials:MD, MBA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HASTINGS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-8614
Mailing Address - Country:US
Mailing Address - Phone:571-432-6123
Mailing Address - Fax:
Practice Address - Street 1:301 S 7TH AVE STE 225
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1450
Practice Address - Country:US
Practice Address - Phone:484-628-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4695652083X0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program