Provider Demographics
NPI:1396048930
Name:ROBERT M. FACTOR, M.D., LLC
Entity type:Organization
Organization Name:ROBERT M. FACTOR, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:FACTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:608-263-6025
Mailing Address - Street 1:122 W WASHINGTON AVE STE 530
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-2715
Mailing Address - Country:US
Mailing Address - Phone:608-263-6025
Mailing Address - Fax:608-888-1797
Practice Address - Street 1:122 W WASHINGTON AVE STE 530
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-2715
Practice Address - Country:US
Practice Address - Phone:608-263-6025
Practice Address - Fax:608-888-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health