Provider Demographics
NPI:1427091685
Name:STEIN, ROBERT L (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:STEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:390 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3026
Mailing Address - Country:US
Mailing Address - Phone:814-724-5122
Mailing Address - Fax:814-724-8276
Practice Address - Street 1:350 SHARON NEW CASTLE RD
Practice Address - Street 2:
Practice Address - City:FARRELL
Practice Address - State:PA
Practice Address - Zip Code:16121-1576
Practice Address - Country:US
Practice Address - Phone:724-979-4008
Practice Address - Fax:724-308-6354
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS007208L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01503238Medicaid
PAF08994Medicare UPIN
PA01503238Medicaid