Provider Demographics
NPI:1396736419
Name:CINCALA, ROBERT P (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:CINCALA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5500 BROOKTREE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9260
Mailing Address - Country:US
Mailing Address - Phone:724-933-1420
Mailing Address - Fax:724-933-1439
Practice Address - Street 1:5500 BROOKTREE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9260
Practice Address - Country:US
Practice Address - Phone:724-933-1420
Practice Address - Fax:724-933-1439
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2008-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS003024L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006015930003Medicaid
PA0006015930003Medicaid
PA114977E81Medicare PIN